NPI 1003118449

Mary Dame

Practitioner Licensed Practical Nurse Indianapolis, IN

Practice location

Address: 2626 E 46th St STE J, Indianapolis, IN 46205-2380
Phone: (317) 475-9066
Mailing address: 1720 Sonesta Way, Indianapolis, IN 46217-7103

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 27007947A (IN)

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Registry record

NPI: 1003118449
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Nov 2010
Record last updated: 17 Nov 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.