MEDICARE: ESTHER MUTURI

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
1	372500000X	Chore Provider
2	3747P1801X	Personal Care Attendant
3	376J00000X	Homemaker
4	376K00000X	Nurse's Aide	CNA903414	IN
5	374U00000X	Home Health Aide	HHA1504917	IN

General Provider Information

NPI Number	:	1790268399
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ESTHER MUTURI

Provider Business Mailing Address
First Line	:	1214 RACQUETCLUB SOUTH DRIVE APT C
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46260
Country	:	US
Telephone Number	:	317-526-8766
Fax Number	:

Provider Business Practice Location Address
First Line	:	1214 RACQUETCLUB SOUTH DRIVE APT C
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46260
Country	:	US
Telephone Number	:	317-526-8766
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/10/2018
Last Update Date	:	09/10/2018

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Directions to “ ESTHER MUTURI ” Practice Location

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