NPI | 1235559832 |
---|---|
Entity Type | Organization |
Authorized Contact | VALARIE LYNN SCHIER Practice Coordinator 317-885-3793 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 28179570A) |
Enumeration Date | 2014-04-22 |
Last Update Date | 2021-03-29 |