Audrey Devine MD
Rheumatology Physician in Indianapolis, IN(View on Map)
Full Name
Audrey Devine MD
NPI Number
1588194039
NPI Type
Individual Provider
Gender
Female
Enumeration Date
06/18/2017
Specialties
(Taxonomies)Name
Code
207RR0500X
207R00000X
390200000X
Primary Taxonomy
Yes
No
No
Licenses
State
Indiana
Indiana
License Number
01085094A
11019470A
Contact
Information
Purpose
Mailing
Location
Address
6626 E 75TH ST STE 500
1270 N POST RD STE B
City
Indianapolis
Indianapolis
State
IN
IN
Postal Code
46250-2890
46219-4254
Country
US
US
Telephone Number
N/A
(317) 999-9999
Identifiers
Identifier
266180L38
300064418
Identifier State
Unknown
IN
Identifier Issuer
MEDICARE
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/08/2024
Provider Address
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