Provider Demographics
NPI:1891675617
Name:TERRELL, T MARIE (RN)
Entity type:Individual
Prefix:
First Name:T
Middle Name:MARIE
Last Name:TERRELL
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 1:2424 KESSLER BOULEVARD EAST DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46220-2867
Mailing Address - Country:US
Mailing Address - Phone:317-226-4259
Mailing Address - Fax:
Practice Address - Street 1:2424 KESSLER BOULEVARD EAST DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46220-2867
Practice Address - Country:US
Practice Address - Phone:317-226-4259
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-03
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28103081A163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool