Family Practice Visiting Providers LLC

NPI #1215439161 in Indianapolis, Indiana

Provider Information

NPI Number
1215439161
Entity Type
Organization
Organization Name
Family Practice Visiting Providers LLC
Primary Specialty
Registered Nurse
Enumeration Date
Mar 7, 2018
Last Updated
Mar 7, 2018

Practice Location

Address
120 E MARKET ST STE 1273
State
Indiana
ZIP Code
46204-3250
Phone
(317) 807-0859

Authorized Official

Name
MS. TAMMIE RENA MAIDEN, FNP
Title
FAMILY NURSE PRACTITIONER
Phone
(937) 248-9968

Specialties & Taxonomy Codes

Specialty
Registered Nurse

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