Individual
MRS. MARY CAROLYN REARICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-2561
(317) 988-4341
Mailing address
14921 HAWTHORNE DRIVE, CARMEL, IN 46033
(317) 846-4850
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71001297A
IN
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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