Individual
PAMELA NUBONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
602 N HIGH SCHOOL RD, INDIANAPOLIS, IN 46214-3694
(317) 291-1211
Mailing address
602 N HIGH SCHOOL RD, INDIANAPOLIS, IN 46214-3694
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71012450A
IN
363LF0000X
Family Nurse Practitioner
F12210302
IN
Other
Enumeration date
04/06/2022
Last updated
04/07/2022
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