Individual
ANNE MUNDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
6612 E 75TH ST STE 200, INDIANAPOLIS, IN 46250-2876
(317) 972-1180
Mailing address
6612 E 75TH ST, INDIANAPOLIS, IN 46250-2875
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71008434A
IN
Other
Enumeration date
10/10/2018
Last updated
11/21/2018
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