Individual
MRS. MALISSA ANNE STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C, AOCNP
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 554-0000
Mailing address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP910A
ID
Other
Enumeration date
05/28/2009
Last updated
04/29/2022
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