Individual
TERRA LYNNETTE MONTROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2075 SUDA DR, CARMEL, IN 46280-1572
(219) 252-2476
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28244665A
IN
363L00000X
Nurse Practitioner
Primary
71014350A
IN
363LF0000X
Family Nurse Practitioner
71014350A
IN
Other
Enumeration date
01/17/2023
Last updated
10/09/2023
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