| NPI | 1124598768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES L BAILEN Partner 812-282-3899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2023-08-03 |