Individual
MEGAN N NYEE MACKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
950 N MERIDIAN ST, INDIANAPOLIS, IN 46204-1077
(317) 963-2200
(317) 963-1621
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71010012A
IN
Other
Enumeration date
04/30/2020
Last updated
03/25/2022
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