Individual
MARY TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 554-0000
(317) 988-5385
Mailing address
951 N KEALING AVE, INDIANAPOLIS, IN 46201-2523
(815) 529-9196
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
041470258
IL
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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