Individual
MR. GERALD MATTHEW EATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1801 N. SENATE BLVD STE 4000, INDIANAPOLIS, IN 46202
(317) 962-0529
Mailing address
8654 BUFFETT PKWY, FISHERS, IN 46038-3564
(317) 849-1582
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28200539A
IN
363LF0000X
Family Nurse Practitioner
Primary
71007313A
IN
Other
Enumeration date
09/04/2017
Last updated
01/22/2021
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