Individual
DANIELLE DEMULLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1411 N OLNEY ST, INDIANAPOLIS, IN 46201-1455
(317) 258-5204
Mailing address
1411 N OLNEY ST, INDIANAPOLIS, IN 46201-1455
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28175190A
IN
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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