Individual
ANNA MARIE GICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 944-5000
Mailing address
4519 N 100 E, FOWLER, IN 47944-8041
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28267124A
IN
363LP0200X
Pediatric Nurse Practitioner
Primary
71015851A
IN
Other
Enumeration date
09/18/2023
Last updated
11/21/2024
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