| NPI | 1366934242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW BRANDON HUNT President 317-941-7338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology |
| Additional Taxonomies | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2023-02-07 |