Individual
DAYLE LYNNE WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
8333 NAAB RD STE 420, INDIANAPOLIS, IN 46260-1992
(317) 338-6666
Mailing address
8333 NAAB RD STE 420, INDIANAPOLIS, IN 46260-1992
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71006780A
IN
363LF0000X
Family Nurse Practitioner
Primary
71006780A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
264430823
MEDICARE PTAN
IN
05
—
300000521
—
IN
Enumeration date
08/06/2015
Last updated
05/20/2022
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