Individual
MARITA LUANN PEASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1041 WEST 10TH STREET, ROUDEBUSH VAMC, INDIANAPOLIS, IN 46202
(317) 430-2941
(317) 988-4696
Mailing address
1041 WEST 10TH, INDIANAPOLIS, IN 46202-1377
(317) 430-2941
(317) 988-4696
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71001196A
IN
Other
Enumeration date
04/08/2006
Last updated
11/08/2016
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