Individual
MRS. ANNA MARZELLA TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1001 W 10TH ST, RHC 4TH FLOOR, INDIANAPOLIS, IN 46202-2859
(317) 630-7979
(317) 630-2668
Mailing address
8910 PURDUE RD, STE 500, INDIANAPOLIS, IN 46268-3161
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
71000988A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200426850
—
IN
Enumeration date
10/02/2006
Last updated
08/19/2011
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