SAMANTHA L TIELKER

INDIANAPOLIS, IN
NPI1952485898
Former NameSAMANTHA L JESSUP
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: IN  71002256)
Enumeration Date2006-10-25
Last Update Date2014-02-25
Business Address
-- SAMANTHA L TIELKER NP
1800 N CAPITOL AVE NP E-140
INDIANAPOLIS, IN 46202-1218
Phone number: 317-962-2894
Mailing Address
-- SAMANTHA L TIELKER NP
250 N SHADELAND AVE STE 130 PROVIDER ENROLLMENT
INDIANAPOLIS, IN 46219-4959
Phone number:
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