Individual
RAVEN SYMONE THURMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
959 N SHERMAN DR, INDIANAPOLIS, IN 46201-2529
(317) 934-9211
Mailing address
6428 BOWER DR, INDIANAPOLIS, IN 46241-1861
(317) 496-1043
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28254516A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28254516A
REGISTERED NURSE
IN
Enumeration date
12/09/2024
Last updated
12/09/2024
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