Mary C Chase NNP

NPI 1669621587 - Nurse Practitioner - 363LN0005X

NPI Details
NPI 1669621587
Gender Female
Enumeration Date 09/16/2008
Last Updated 10/12/2012
Entity Type Individual
Active Over 8 years ago
Practice Location
8111 TOWNSHIP LINE RD
INDIANAPOLIS IN, 46260-2479, US
Phone (317) 415-7921
Fax
Business Location
10330 N MERIDIAN ST
SUITE 201
INDIANAPOLIS IN, 46290-1024, US
Phone
Fax
Toxanomy
Taxonomy Code 363LN0005X
License State Indiana
License Number 71002744A
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According to our database, Ms. Mary C Chase NNP NPI is 1669621587, taxonomy code is 363LN0005X and license number is 71002744A, license state is located at Indiana. Mary C Chase NNP physically located at 8111 Township Line Rd, Indianapolis IN, 46260-2479. NPI Number Mary C Chase NNP has the Individual type.

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1669621587 NPI number is provided on an as is basis without warranty of any kind. 1669621587 is maintained by the National Plan & Provider Enumeration System. The contents of Mary C Chase NNP are for informational purposes only.