Individual
LINNEA J. NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
6925 S HARDING ST, SUITE B-1, INDIANAPOLIS, IN 46217
(317) 497-6140
(317) 497-6147
Mailing address
5701 CASTLE HILL DR APT 957, INDIANAPOLIS, IN 46250-5608
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02003127A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01291600
RAILROAD MEDICARE
IN
Enumeration date
01/30/2007
Last updated
07/10/2018
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