| NPI | 1023238896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE LOUISE DEWITT Fnp 317-581-0274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 28154344a) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |