| NPI | 1558238345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEA ANN RENEE SPENCER Director Of Clinical Services 812-568-1374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2025-10-17 |
| Last Update Date | 2025-10-24 |