Organization
HOLISTIC MEDICAL AND WELLNESS CENTER OF IN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RANDEE L MILLER MSN APRN BC (NURSE PRACTITIONER/OWNER)
(317) 608-6090
Entity
Organization
Contact information
Practice address
8424 NAAB RD, SUITE 3P, INDIANAPOLIS, IN 46260-5918
(317) 608-6090
(317) 608-6095
Mailing address
8424 NAAB RD, SUITE 3P, INDIANAPOLIS, IN 46260-5918
(317) 608-6090
(317) 608-6095
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
71001160B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200840870
—
IN
Enumeration date
12/12/2009
Last updated
12/12/2009
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