Individual
MARY FRANCES BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
401 E 34TH ST, INDIANAPOLIS, IN 46205-3754
(317) 860-3964
Mailing address
2550 GREYTHORNE DR, INDIANAPOLIS, IN 46239-7906
(317) 375-0742
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
28098817A
IN
Other
Enumeration date
08/15/2007
Last updated
08/15/2007
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