Individual
TRINA SUZANNE BLUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
702 BARNHILL DR, RM 1960, INDIANAPOLIS, IN 46202-5128
(317) 312-4021
(317) 948-4385
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
28130485A
IN
363LP0200X
Pediatric Nurse Practitioner
Primary
71003167A
IN
Other
Enumeration date
04/27/2010
Last updated
12/15/2020
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