Individual
THERESA COLLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 LINDENWALD DR, INDIANAPOLIS, IN 46217-3278
(317) 850-3830
Mailing address
140 LINDENWALD DR, INDIANAPOLIS, IN 46217-3278
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28225667A
IN
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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