Individual
MARY GREENWALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 E BOYD AVE STE 201, GREENFIELD, IN 46140-2818
(317) 462-5112
Mailing address
1100 REID PKWY, RICHMOND, IN 47374-1157
(765) 983-3127
(654) 983-3219
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28145063A
IN
363LF0000X
Family Nurse Practitioner
Primary
71007479A
IN
Other
Enumeration date
08/30/2017
Last updated
01/29/2026
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