| Holistic Medical And Wellness Center Of In, Llc | |
|
8424 Naab Rd Suite 3p Indianapolis IN 46260-5918 | |
| (317) 608-6090 | |
| (317) 608-6095 |
| Full Name | Holistic Medical And Wellness Center Of In, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 8424 Naab Rd, Indianapolis, Indiana |
| Authorized Official Name and Position | Randee L Miller (NURSE PRACTITIONER/OWNER) |
| Authorized Official Contact | 3176086090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Medical And Wellness Center Of In, Llc 8424 Naab Rd Suite 3p Indianapolis IN 46260-5918 Ph: (317) 608-6090 | Holistic Medical And Wellness Center Of In, Llc 8424 Naab Rd Suite 3p Indianapolis IN 46260-5918 Ph: (317) 608-6090 |
| NPI Number | 1336478890 |
|---|---|
| Provider Enumeration Date | 12/12/2009 |
| Last Update Date | 12/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336478890 | NPI | - | NPPES |
| 200840870 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 71001160B (Indiana) | Primary |
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