Individual
DENISE WHITLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4524 PAYTON AVE, INDIANAPOLIS, IN 46226-3952
(317) 628-6994
Mailing address
4524 PAYTON AVE, INDIANAPOLIS, IN 46226-3952
(317) 628-6994
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
HHA1100212
IN
376K00000X
Nurse's Aide
Primary
CNA0706866
IN
Other
Enumeration date
08/19/2025
Last updated
08/19/2025
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