Search › Indiana › 235Z00000X
Madison Street
NPI 1356154967 · on the registry since 2025
Practice
- Address
- 1441 S Fenbrook Ln # 400d
Bloomington, IN 47401 - Phone
- (812) 322-4494
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-01-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana