ROBIN MICAL PRENDERGAST

INDIANAPOLIS, IN
NPI1932429925
Former NameROBIN MICAL HUMPHREY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71003318A)
Additional Taxonomies163W00000X Registered Nurse
(Licence: IN  281454945A)
Enumeration Date2010-06-02
Last Update Date2017-04-13
Business Address
-- ROBIN MICAL PRENDERGAST N.P.
1481 W 10TH ST
INDIANAPOLIS, IN 46202-2803
Phone number: 317-988-9779
Mailing Address
-- ROBIN MICAL PRENDERGAST N.P.
1481 WEST 10TH STREET
INDIANAPOLIS, IN 46202
Phone number: 317-988-9779