Individual
MADELEINE L ST. JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 944-8321
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28228866A
IN
363LF0000X
Family Nurse Practitioner
Primary
71011545A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
264430H01
MEDICARE
IN
05
—
300054884
—
IN
01
—
814890061
MEDICARE
IN
Enumeration date
09/01/2020
Last updated
05/05/2023
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