Search › Indiana › 363LW0102X
Maryam Egenolf, NP
NPI 1497336176 · on the registry since 2021 · sole proprietor
Practice
- Address
- 2651 E Discovery Pkwy
Bloomington, IN 47408 - Phone
- (812) 918-3400
- Fax
- (812) 335-7371
- Organisation at this address
- Iu Health
Southern Indiana Pathologists
Bloomington Anesthesiologists Pc
Indiana University Health Bloomington Inc
Indiana University Health Bloomington IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 190
Additional practice sites
- 2322 30th Rd Ste 1a, Astoria, NY
Registry record
- Primary taxonomy
- 363LW0102X
363LW0102X
- Also registered as
- 363LW0102X
- Licence states on file
- NY, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-10-28
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