Individual
DEBORA ANN NYGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1909 N WHITCOMB AVE, INDIANAPOLIS, IN 46224-5540
(317) 809-8242
Mailing address
1909 N WHITCOMB AVE, INDIANAPOLIS, IN 46224-5540
(317) 809-8242
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71001404A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300006064
—
IN
Enumeration date
04/06/2006
Last updated
03/08/2024
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