Peterson, Madeline Rae
Peterson, Madeline Rae is an individual health care provider with primary practice located at 8111 Township Line Rd , Indianapolis IN 46260-2479. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, which is considered as her primary health care specialty. Peterson, Madeline Rae can be contacted via phone (317) 415-8111.Contact Information
Primary practice address
8111 Township Line Rd
Indianapolis IN 46260-2479
Phone: (317) 415-8111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care | 363LN0005X | 71011887A | Indiana |
Profile Details
| NPI number | 1336805258 |
|---|---|
| LBN Legal business name | Peterson, Madeline Rae |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2021 |
| Last updated | Jun 12th, 2023 - about last year |
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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