Individual provider · Type 1 NPI

Mary R. Leondike, APN

Gerontology Nurse Practitioner · Indianapolis, IN

NPI number 1164438313 Active

Practice location

1481 West 10th Street
Indianapolis, IN 46202

Fax (317) 226-0455

Mailing address

7643 Waterwood Dr
Indianapolis, IN 46214-4037

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200X71001801A (IN)
Gerontology Nurse Practitioner Primary 363LG0600X71001801A (IN)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1164438313

Mary R. Leondike, APN's National Provider Identifier is 1164438313, issued on Jul 31, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Indianapolis, IN. The record was last updated on Apr 30, 2008.