Individual provider · Type 1 NPI

Marissa Suzanne Malenkos

Family Nurse Practitioner · Indianapolis, IN

NPI number 1073153219 Active

Practice location

2020 W 86th St Ste 306
Indianapolis, IN 46260-1931

Call (317) 602-1965 Map

Mailing address

8929 Sourwood Ct
Indianapolis, IN 46260-1544

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X28174774A (IN)

Family Nurse Practitioner: Definition to come...

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About NPI 1073153219

Marissa Suzanne Malenkos's National Provider Identifier is 1073153219, issued on Jan 15, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Indianapolis, IN. The record was last updated on Jan 15, 2020.