| NPI | 1366273302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE WHITLEDGE Owner 812-401-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2024-11-06 |