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PATRICIA A HALLORAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
705 RILEY HOSPITAL DR, RI 1601, INDIANAPOLIS, IN 46202-5109
(317) 944-4846
(317) 948-0126
Mailing address
PO BOX 1026, INDIANAPOLIS, IN 46206-1026
(317) 274-1201
(317) 278-9905

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
28058035
IN
363LP0200X
Pediatric Nurse Practitioner
Primary
71001733
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200277560
IN
Enumeration date
09/25/2006
Last updated
01/18/2021
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