Mary Lou Wulf CNS

NPI 1619139359 - Clinical Nurse Specialist - 364S00000X

NPI Details
NPI 1619139359
Gender Female
Enumeration Date 06/25/2008
Last Updated 02/26/2014
Entity Type Individual
Active Over 8 years ago
Practice Location
1701 N SENATE BLVD
RM AG 001
INDIANAPOLIS IN, 46202-1239, US
Phone (317) 962-3886
Fax (317) 962-8652
Business Location
250 N SHADELAND AVE
STE 130 PROVIDER ENROLLMENT
INDIANAPOLIS IN, 46219-4959, US
Phone
Fax
Toxanomy
Taxonomy Code 364S00000X
License State Indiana
License Number 70000209
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According to our database, Mary Lou Wulf CNS NPI is 1619139359, taxonomy code is 364S00000X and license number is 70000209, license state is located at Indiana. Mary Lou Wulf CNS physically located at 1701 N Senate Blvd, Indianapolis IN, 46202-1239. NPI Number Mary Lou Wulf CNS has the Individual type.

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1619139359 NPI number is provided on an as is basis without warranty of any kind. 1619139359 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Lou Wulf CNS are for informational purposes only.