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Individual

VICTORIA DEWITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
705 RILEY HOSPITAL DR, ROC 4340, INDIANAPOLIS, IN 46202-5109
(317) 944-2143
(317) 944-3107
Mailing address
PO BOX 1026, INDIANAPOLIS, IN 46206-1026
(317) 777-6435
(317) 777-6644

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
71009523A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300035857
IN
Enumeration date
09/17/2019
Last updated
04/01/2020
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