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NPI Code Detail

MEDICARE: MS. NIKKI MARIE MONEYMAKER PHLEBOTOMIST

MEDICARE:  MS. NIKKI MARIE MONEYMAKER  PHLEBOTOMIST
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1246RP1900XPhlebotomy TechnicianIN

General Provider Information

NPI Number : 1255052924
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NIKKI MARIE MONEYMAKER PHLEBOTOMIST
Provider Business Mailing Address
First Line : 3831 S EWING ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46237-1258
Country : US
Telephone Number : 317-514-2095
Fax Number :
Provider Business Practice Location Address
First Line : 3831 S EWING ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46237-1258
Country : US
Telephone Number : 317-514-2095
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2022
Last Update Date : 09/09/2022

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Directions to “ MS. NIKKI MARIE MONEYMAKER PHLEBOTOMIST” Practice Location

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