Individual
MARIAH MIKEL FLOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C, RN
Contact information
Practice address
2900 16TH ST, BEDFORD, IN 47421-3510
(812) 276-4358
Mailing address
2900 16TH ST, BEDFORD, IN 47421-3510
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28229341A
IN
363LF0000X
Family Nurse Practitioner
Primary
71015041A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300089024
—
IN
Enumeration date
02/23/2024
Last updated
05/09/2024
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