| NPI | 1063056448 |
|---|---|
| Doing Business As | 5 STAR JOURNEY |
| Entity Type | Organization |
| Authorized Contact | PENNY ALTMAN Owner 812-567-3672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2019-10-29 |