Leondike, Mary R

Leondike, Mary R is an individual health care provider with primary practice located at 1481 West 10Th Street , Indianapolis IN 46202. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Leondike, Mary R can be contacted via phone (317) 988-2750.

Contact Information

Primary practice address
1481 West 10Th Street Indianapolis IN 46202
Phone: (317) 988-2750
Fax: (317) 226-0455
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 71001801A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 71001801A Indiana

Profile Details

NPI number 1164438313
LBN Legal business name Leondike, Mary R
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Apr 30th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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