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Individual

ERIN A DIEBOLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, FNP

Contact information

Practice address
6845 E US HIGHWAY 36, SUITE 600, AVON, IN 46123-9779
(317) 272-4920
(317) 273-1409
Mailing address
1481 W 10TH ST, # 112, INDIANAPOLIS, IN 46202-2803
(317) 988-9836
(317) 988-5328

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71002568
IN

Other

Enumeration date
12/13/2007
Last updated
04/12/2016
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