Individual
KIMBERLY DEMASIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7520 E 88TH PL, SUITE 101, INDIANAPOLIS, IN 46256-1253
(317) 735-6001
Mailing address
1235 WILLOW WAY, NOBLESVILLE, IN 46062-8536
(317) 506-2954
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
28131686A
IN
Other
Enumeration date
09/24/2013
Last updated
09/24/2013
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