| NPI | 1508306713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA E SEIBOLD Owner 812-251-2441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71001944A) |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2024-07-24 |