Individual
MADISON KAY EBNIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
8111 TOWNSHIP LINE RD, INDIANAPOLIS, IN 46260-2479
(317) 415-7921
Mailing address
8111 TOWNSHIP LINE RD, INDIANAPOLIS, IN 46260-2479
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
71014880A
IN
Other
Enumeration date
07/24/2023
Last updated
02/12/2024
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