Provider Demographics
NPI:1316225105
Name:BLETTNER, MARGARET ELIZABETH (RN)
Entity Type:Individual
Prefix:PROF
First Name:MARGARET
Middle Name:ELIZABETH
Last Name:BLETTNER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:11590 N MERIDIAN ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-6954
Mailing Address - Country:US
Mailing Address - Phone:317-708-2839
Mailing Address - Fax:317-708-2877
Practice Address - Street 1:11590 N MERIDIAN ST
Practice Address - Street 2:SUITE 400
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-6954
Practice Address - Country:US
Practice Address - Phone:317-708-2839
Practice Address - Fax:317-708-2877
Is Sole Proprietor?:No
Enumeration Date:2011-07-27
Last Update Date:2011-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28168864A163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse