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Individual

MRS. JANET ANN DECKER-RADFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
4317 STRAWFLOWER DR, INDIANAPOLIS, IN 46203-6925
(317) 489-1648
Mailing address
4317 STRAWFLOWER DR, INDIANAPOLIS, IN 46203-6925
(317) 489-1648
(317) 791-6738

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71003744A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
71003744A
NPI ENUMERATOR
KS
Enumeration date
10/11/2012
Last updated
07/10/2013
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