MEREDITH LEILANI KOONTZ

INDIANAPOLIS, IN
NPI1861053068
Former NameMEREDITH LEILANI MAGNETTI
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: IN  71009095A)
Additional Taxonomies163W00000X Registered Nurse
(Licence: IN  28179551A)
Enumeration Date2019-06-27
Last Update Date2020-11-30
Business Address
MEREDITH LEILANI KOONTZ
705 RILEY HOSPITAL DR RM 1134
INDIANAPOLIS, IN 46202-5109
Phone number: 317-944-6102
Mailing Address
MEREDITH LEILANI KOONTZ
250 N SHADELAND AVE
INDIANAPOLIS, IN 46219-4959
Phone number: