Individual
COURTNEY N BUMBALOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2445 DIRECTORS ROW STE C, INDIANAPOLIS, IN 46241-4936
(317) 941-7338
(317) 969-6727
Mailing address
2445 DIRECTORS ROW STE C, INDIANAPOLIS, IN 46241-4936
(317) 941-7338
(317) 969-6727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F07180702
IN
Other
Enumeration date
08/15/2018
Last updated
07/02/2021
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