Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 28157171A | IN |
NPI | 1245861848 |
---|---|
Provider Name | Cindy Ann Syrek |
First Address | Carmel, IN 46074-8276 |
Second Address | Indianapolis, IN 46260 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2020 |
Last Update Date | 01/02/2020 |