| NPI | 1265755029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER E JOHNSTON Owner 812-704-4470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71002653A) |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2011-07-11 |