Individual
DARRIS NICOLE GREENFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4315 LESLEY AVE, INDIANAPOLIS, IN 46226-3355
(317) 716-6178
Mailing address
1084 SUNNY FIELD LN, LAWRENCEVILLE, GA 30043-6702
(317) 513-4466
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
22-015684
IN
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
03/22/2024
Last updated
08/06/2024
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