Individual
ROBIN MICAL PRENDERGAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-9779
(317) 988-5323
Mailing address
1481 WEST 10TH STREET, INDIANAPOLIS, IN 46202
(317) 988-9779
(317) 988-5323
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
281454945A
IN
363LF0000X
Family Nurse Practitioner
Primary
71003318A
IN
Other
Enumeration date
06/02/2010
Last updated
04/13/2017
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