Individual
SUZANNE M ROONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
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
(317) 554-0000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28115728A
IN
363LA2200X
Adult Health Nurse Practitioner
Primary
71004219A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201119160
—
IN
Enumeration date
10/17/2012
Last updated
03/15/2022
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