Individual
DANIELLE DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1480 W 10TH ST, INDIANAPOLIS, IN 46202-4826
(317) 988-1772
Mailing address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-6502
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
28157999A
IN
163WP2201X
Ambulatory Care Registered Nurse
28157699A
IN
Other
Enumeration date
03/20/2023
Last updated
10/18/2023
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