| NPI | 1326911462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA FRITCH Provider 812-674-8606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2025-09-25 |
| Last Update Date | 2025-09-25 |