MINDY J LONG

INDIANAPOLIS, IN
NPI1396120523
Other NameMINDY J SHUTE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LN0000X Nurse Practitioner, Neonatal
(Licence: IN  71005631A)
Additional Taxonomies363LN0000X Nurse Practitioner, Neonatal
(Licence: IN  28182964A)
Enumeration Date2015-07-29
Last Update Date2022-02-17
Business Address
MINDY J LONG NP
8111 S EMERSON AVE
INDIANAPOLIS, IN 46237-8601
Phone number: 317-865-5146
Mailing Address
MINDY J LONG NP
PO BOX 1026
INDIANAPOLIS, IN 46206-1026
Phone number: 317-777-6435