Individual
MS. MARY KATHERINE MARIOTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
5880 W STATE ROAD 28, TIPTON, IN 46072-9116
(765) 557-6097
(765) 557-6124
Mailing address
2032 TREVING DR, CICERO, IN 46034-9118
(317) 984-0211
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71002763A
IN
Other
Enumeration date
03/06/2008
Last updated
04/21/2021
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