Individual provider · Type 1 NPI
Vanessa Marie Street
Psychiatric/Mental Health Nurse Practitioner · Indianapolis, IN
NPI number
1942819263
Active
Practice location
1481 W 10th St
Indianapolis, IN 46202-2803
Mailing address
9910 Suncoral Cir
Fishers, IN 46038-5551
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 71010200A (IN) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1942819263
Vanessa Marie Street's National Provider Identifier is 1942819263, issued on Jul 23, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Indianapolis, IN. The record was last updated on Jul 23, 2020.