Individual
MS. MARIANNE DICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
3400 LAFAYETTE RD, SUITE 200, INDIANAPOLIS, IN 46222-1146
(317) 291-7422
(317) 291-7433
Mailing address
7475 ELMBURY CT, INDIANAPOLIS, IN 46237-8327
(317) 679-9115
(317) 291-7433
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
28100114A
IN
Other
Enumeration date
06/30/2010
Last updated
06/06/2011
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