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Individual

MS. LINDA LEE O'MALLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
8620 S AYRES DR, NINEVEH, IN 46164-9081
(317) 933-2815
(317) 933-2815
Mailing address
8620 S AYRES DR, NINEVEH, IN 46164-9081
(317) 933-2815

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
71000787A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71000787A
IN

Other

Enumeration date
12/21/2006
Last updated
10/02/2015
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