| NPI | 1386280923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA J SPENCER Owner/Practicioner 317-852-3616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2019-11-19 |