| NPI | 1558871681 |
|---|---|
| Other Name | HIS SOLUTIONS SPECIALTY CARE, NOT FOR PROFIT C |
| Entity Type | Organization |
| Authorized Contact | WENDY L SHANNON Np / CEO 765-274-3682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2019-05-01 |