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Nursing Service Providers Registered Nurse Critical Care Medicine

Provider NPI: 1902384274

Provider Information:
Gender: F
Not Sole Proprietor

Practice Location:
Tel: 765-522-2556  Fax: --

Business Mailing Address:
Tel: 317-847-4080  Fax: --

NPI Information:
NPI: 1902384274
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
N163WC0200XNursing Service Providers
Registered Nurse
Critical Care Medicine
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 363LF0000X





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