Individual
MISS DANA MICHELE MARSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC
Contact information
Practice address
451 S PARK RIDGE RD STE 101, BLOOMINGTON, IN 47401-8589
(812) 331-8282
Mailing address
3213 S EDEN DR, BLOOMINGTON, IN 47401-8742
(317) 474-4475
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71008967A
IN
Other
Enumeration date
06/07/2019
Last updated
06/07/2019
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