Individual
VINCENT IAN MARKOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
5715 DECATUR BLVD, INDIANAPOLIS, IN 46241-9561
(317) 455-2366
Mailing address
6067 DECATUR BLVD, INDIANAPOLIS, IN 46241-9606
(317) 856-5201
(317) 455-7143
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28220903A
IN
363L00000X
Nurse Practitioner
Primary
28220903A
IN
363LF0000X
Family Nurse Practitioner
71014394A
IN
Other
Enumeration date
09/14/2023
Last updated
04/09/2024
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