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Mary Reardon, RN

Registered Nurse, Case Management in Indianapolis, IN. Individual provider (NPI-1).

NPI number1851663264
StatusActive
Last updated in NPPESJan 31, 2012

Details

NPI
1851663264
Entity type
Individual (NPI-1)
Name
Mary Reardon
Credential
RN
Sex
Female
Sole proprietor
No
Enumeration date
Jan 31, 2012
Last updated
Jan 31, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WC0400X Registered Nurse, Case Management28097017AINYes

Practice location

1481 W 10th St
Indianapolis, IN 46202-2803

Phone 317-554-0000

Mailing address

5722 Castle Hill Dr
# 612
Indianapolis, IN 46250-5602

Phone 317-363-0251

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