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Individual

EDWIN MASIH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSN, RN

Contact information

Practice address
1051 GREENWOOD SPRINGS BLVD, #201, GREENWOOD, IN 46143-6479
(317) 396-1300
(317) 396-1415
Mailing address
1051 GREENWOOD SPRINGS BLVD, #201, GREENWOOD, IN 46143-6479
(317) 396-1300
(317) 396-1415

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28156380A
IN
363L00000X
Nurse Practitioner
Primary
71006967A
IN

Other

Enumeration date
08/30/2016
Last updated
03/21/2017
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