Individual
BARBARA S DEROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11020 PENDLETON PIKE, INDIANAPOLIS, IN 46236-2817
(317) 826-3903
Mailing address
4464 SILVER HILL DR, GREENWOOD, IN 46142-9665
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28072442A
IN
363L00000X
Nurse Practitioner
Primary
71002477A
IN
Other
Enumeration date
04/16/2007
Last updated
01/28/2025
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