Organization
MIGNONETTE DARLENE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIGNONETTE DARLENE FNP-BC (NURSE PRACTITIONER)
(919) 438-7899
Entity
Organization
Contact information
Practice address
8108 E 36TH ST, INDIANAPOLIS, IN 46226-6431
(919) 438-7899
Mailing address
8108 E 36TH ST, INDIANAPOLIS, IN 46226-6431
(919) 438-7899
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71006769A
IN
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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