NPI | 1265631881 |
---|---|
Entity Type | Organization |
Authorized Contact | GARY S SCHEPPER Nurse Practioner 812-988-6678 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71000687B) |
Enumeration Date | 2007-07-13 |
Last Update Date | 2007-07-13 |