NPI | 1255121331 |
---|---|
Former Legal Business Name | STARDUST WOUND CARE INC |
Entity Type | Organization |
Authorized Contact | STEPHANIE M HOWARD Nurse Practitioner 219-255-4719 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2025-05-12 |
Last Update Date | 2025-05-12 |