Individual
LATANYA CHERESE MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 948-4953
Mailing address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 948-4953
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
28163515A
IN
Other
Enumeration date
01/20/2025
Last updated
01/20/2025
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