Individual
MARLENA ANN GAINEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC-OB,WHNP-BC
Contact information
Practice address
1340 E COUNTY LINE RD, SUITE W, INDIANAPOLIS, IN 46227-0874
(317) 887-4400
(317) 887-4401
Mailing address
1340 E COUNTY LINE RD, SUITE W, INDIANAPOLIS, IN 46227-0874
(317) 887-4400
(317) 887-4401
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
28159203A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28159203A
RN LICENSE
IN
Enumeration date
12/30/2010
Last updated
12/30/2010
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