Individual
MARIAM BA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1545 N MERIDIAN ST, INDIANAPOLIS, IN 46202-2306
(317) 923-1491
Mailing address
1545 N MERIDIAN ST, INDIANAPOLIS, IN 46202-2306
(317) 923-1491
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71018258A
IN
363LF0000X
Family Nurse Practitioner
Primary
R211372
MD
Other
Enumeration date
01/03/2025
Last updated
07/07/2026
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