Individual
MRS. SUSAN JANE MORICAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
6191 N KEYSTONE AVE, INDIANAPOLIS, IN 46220-2423
(317) 355-9250
Mailing address
6191 N KEYSTONE AVE, INDIANAPOLIS, IN 46220-2423
(317) 355-9250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71008413A
IN
Other
Enumeration date
10/03/2018
Last updated
05/12/2023
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