| NPI | 1689481434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NYLA FLEMING Owner, Provider 317-965-0299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2024-12-16 |
| Last Update Date | 2024-12-16 |