Individual
REGINA LEE ENDICOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
9805 GEIST CROSSING DR, INDIANAPOLIS, IN 46256-4819
(317) 577-1353
Mailing address
9805 GEIST CROSSING DR, INDIANAPOLIS, IN 46256-4819
(317) 577-1353
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71002206A
IN
Other
Enumeration date
11/09/2006
Last updated
10/10/2021
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