| NPI | 1336574490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLEEN M RUBEL President 812-471-4302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01036788A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2024-02-27 |