| NPI | 1093760951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENNI FUQUA President/Owner 317-337-9967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: IN 70000131A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34003324A) |
| 364S00000X Clinical Nurse Specialist (Licence: IN 71000401A) | |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2007-11-19 |