Individual
MAY JOSEFA ISHIKAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
705 RILEY HOSPITAL DR STE 2240, INDIANAPOLIS, IN 46202-5109
(317) 944-8620
Mailing address
250 N SHADELAND AVE STE 200, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28163222A
IN
363LF0000X
Family Nurse Practitioner
71009965A
IN
Other
Enumeration date
04/22/2020
Last updated
09/15/2020
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