Individual
DEANNA MEDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 REID PKWY, RICHMOND, IN 47374-1157
(765) 983-3000
Mailing address
PO BOX 636799, CINCINNATI, OH 45263-6799
(513) 624-0999
(513) 624-0934
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN309612
OH
363L00000X
Nurse Practitioner
Primary
71011356A
IN
363L00000X
Nurse Practitioner
COA 15645NP
OH
Other
Enumeration date
03/11/2014
Last updated
09/22/2021
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