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Individual

MRS. CARMELLA THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 274-8812
Mailing address
PO BOX 1026, INDIANAPOLIS, IN 46206-1026
(317) 777-6435

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
28158096A
IN
363LF0000X
Family Nurse Practitioner
Primary
71012618A
IN

Other

Enumeration date
11/15/2021
Last updated
06/29/2022
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