| NPI | 1174962690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE ELIZABETH BRUEGGEMANN Owner, President 317-343-1050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71001864A) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2013-06-18 |