Individual
PAULA M HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1450 E 20TH ST, INDIANAPOLIS, IN 46218-3454
(317) 653-1990
(176) 531-9993
Mailing address
9498 SHADY BND, BROWNSBURG, IN 46112-9220
(317) 750-5382
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28099990A
IN
207Q00000X
Family Medicine Physician
71002862A
IN
363LF0000X
Family Nurse Practitioner
Primary
71002862
IN
Other
Enumeration date
03/11/2009
Last updated
07/12/2022
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