| NPI | 1295028694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY J BOYER Nurse Practitioner/Owner 574-294-1883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 1067015A) |
| Additional Taxonomies | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: IN 02002929A) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: IN 71001272) | |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2015-02-12 |