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Individual

MS. IMAN SERENA DANIEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
6821 CREEK VALE WAY APT 2C, INDIANAPOLIS, IN 46237-9497
(563) 508-2699
Mailing address
6821 CREEK VALE WAY APT 2C, INDIANAPOLIS, IN 46237-9497
(563) 508-2699

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28247425A
IN

Other

Enumeration date
03/08/2022
Last updated
03/08/2022
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