Individual provider · Type 1 NPI

Maryam Egenolf, NP

Women's Health Nurse Practitioner · Bloomington, IN

NPI number 1497336176 Active

Practice location

2651 E Discovery Pkwy
Bloomington, IN 47408-9059

Fax (812) 335-7371

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice locations

  • 2322 30th Rd Ste 1A, Astoria, NY 11102-3238 · (718) 278-0888

Specialties and licenses

TaxonomyCodeLicense
Women's Health Nurse Practitioner 363LW0102XF421487-01 (NY)
Women's Health Nurse Practitioner Primary 363LW0102X71012571A (IN)

Women's Health Nurse Practitioner: Definition to come...

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About NPI 1497336176

Maryam Egenolf, NP's National Provider Identifier is 1497336176, issued on Apr 15, 2021. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Bloomington, IN. The record was last updated on Oct 28, 2022.