| NPI | 1003543075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER M SCOTT Chief Clinical And Revenue Officer 317-880-4440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2022-08-01 |
| Last Update Date | 2023-09-05 |