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Organization

RISE WELLNESS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NYLA FLEMING NP (OWNER, PROVIDER)
(317) 965-0299
Entity
Organization

Contact information

Practice address
5515 NIGHTHAWK WAY, INDIANAPOLIS, IN 46254-4771
(317) 965-0299
Mailing address
3250A W 86TH ST # 1242, INDIANAPOLIS, IN 46268-3605
(317) 965-0299

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
363LA2200X
Adult Health Nurse Practitioner
363LF0000X
Family Nurse Practitioner

Other

Enumeration date
12/16/2024
Last updated
12/16/2024
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