Organization
PROHEALTH PROVIDERS PSYCHIATRIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CHENAI MVUNDURA NP (NURSE PRACTITIONER)
(317) 268-2199
Entity
Organization
Contact information
Practice address
7365 E 16TH ST, INDIANAPOLIS, IN 46219-2308
(317) 268-2199
Mailing address
230 S PERRY RD STE 1079, PLAINFIELD, IN 46168-2735
(317) 268-2199
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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