Individual
MARIA MARRERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1001 CALUMET AVE, DYER, IN 46311-1596
(219) 924-8178
Mailing address
1001 CALUMET AVE, DYER, IN 46311-1596
(219) 924-8178
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28162112
IN
363LF0000X
Family Nurse Practitioner
Primary
71005463A
IN
Other
Enumeration date
05/05/2015
Last updated
03/22/2021
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