Individual
MARTITA ROLANDA MEEKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8424 NAAB RD STE 1H, INDIANAPOLIS, IN 46260-1954
(317) 338-8680
Mailing address
8424 NAAB RD STE 1H, INDIANAPOLIS, IN 46260-1954
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71006519A
IN
363LG0600X
Gerontology Nurse Practitioner
71006519A
IN
363LP2300X
Primary Care Nurse Practitioner
71006519A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201385510
—
IN
01
—
P01723979
RR MEDICARE
IN
Enumeration date
07/20/2016
Last updated
07/25/2022
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