Organization
SHERRY BOWEN-BUZARD NP SOUTHSIDE PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GIANNA LYNN (OFFICE MANAGER)
(317) 353-3811
Entity
Organization
Contact information
Practice address
8686 MADISON AVE, SUITE F, INDIANAPOLIS, IN 46227-7207
(317) 353-3811
(317) 454-1397
Mailing address
8686 MADISON AVE, SUITE F, INDIANAPOLIS, IN 46227-7207
(317) 353-3811
(317) 454-1397
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
71002414A
IN
Other
Enumeration date
10/08/2013
Last updated
01/21/2014
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