Individual
ADEBISI ISAAC ADEMAKINWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3850 SHORE DR, INDIANAPOLIS, IN 46254-5621
(317) 529-0061
Mailing address
6534 GULFWOOD DR, BROWNSBURG, IN 46112-7521
(317) 480-6265
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71015421A
IN
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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