Individual
MARLEANA LEANN GROH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8075 N SHADELAND AVE STE 200, INDIANAPOLIS, IN 46250-2694
(317) 631-8500
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-7547
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
71010198A
IN
363LF0000X
Family Nurse Practitioner
28185791A
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
71010198A
IN
Other
Enumeration date
07/24/2020
Last updated
02/14/2025
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