Individual
AUGUSTA NOBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 554-0000
Mailing address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71008824A
IN
Other
Enumeration date
04/26/2019
Last updated
04/26/2019
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