Individual
EBONY N HANNAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGCNS-BC
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-2411
Mailing address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
Taxonomy
Speciality
Code
Description
License number
State
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
28204226A
IN
Other
Enumeration date
10/18/2016
Last updated
09/21/2017
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