Individual
DARA M COMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
8433 HARCOURT RD STE 100, INDIANAPOLIS, IN 46260-2193
(317) 583-7600
Mailing address
250 W 96TH ST # 520, INDIANAPOLIS, IN 46260-1316
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28154088A
IN
363LA2100X
Acute Care Nurse Practitioner
Primary
71002725A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201038900
—
IN
Enumeration date
09/03/2008
Last updated
09/20/2018
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