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Mary Beena Mammen
Family Nurse Practitioner in Kokomo, Indiana
NPI 1134615834

Mary Beena Mammen is a Family Nurse Practitioner based in Kokomo, IN and is specialized in Family. Mary Beena Mammen practices in Kokomo, IN. The NPI Number for Mary Beena Mammen is 1134615834 and holds a License No. 71008081A (Indiana).

The current practice location address for Mary Beena Mammen is 3505 S Reed Rd, Kokomo, IN and can be reached out via phone at 765-453-8666.

Location: 3505 S Reed Rd, Kokomo, IN, 46902-3838
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134615834
Provider Name
Mary Beena Mammen
Credential
Provider Entity Type
Individual
Gender
Female
Address
3505 S Reed Rd, Kokomo, IN, 46902-3838
Phone Number
765-453-8666
Fax Number
Provider Enumeration Date
07/05/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3505 S Reed Rd
City
Kokomo
State
Indiana
Zip
46902-3838
Phone Number
765-453-8666
Fax Number
person
Provider Business Mailing Address Details
Address
3505 S Reed Rd
City
Kokomo
State
Indiana
Zip
46902-3838
Phone Number
765-453-8666
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
71008081A (Indiana)
Definition
Definition to come...
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