Individual
REBECCA SOOTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 554-0000
Mailing address
43 MORSE CIR, PITTSBORO, IN 46167-8933
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2825866A
IN
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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