| NPI | 1154633790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZAN VON EHR Nurse Practitioner/Owner 219-707-9237 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71000056A) |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2013-06-27 |