Provider Demographics
NPI:1174788202
Name:MAIO-DUNCAN, MARIANNE (RN)
Entity type:Individual
Prefix:
First Name:MARIANNE
Middle Name:
Last Name:MAIO-DUNCAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6851 E PLEASANT RUN PARKWAY SOUTH DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46219-3440
Mailing Address - Country:US
Mailing Address - Phone:317-351-0069
Mailing Address - Fax:
Practice Address - Street 1:6851 E PLEASANT RUN PARKWAY SOUTH DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46219-3440
Practice Address - Country:US
Practice Address - Phone:317-351-0069
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-29
Last Update Date:2008-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28113694A163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
INTA5090Medicare PIN