Individual
MAGGIE ABSALOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
150 W WASHINGTON ST, SHELBYVILLE, IN 46176-1236
(317) 392-3211
Mailing address
2037 CROSS WILLOW LN, INDIANAPOLIS, IN 46239-8727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71006268A
IN
Other
Enumeration date
05/27/2016
Last updated
05/27/2016
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