| NPI | 1619953684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS RADICE Manager 812-764-5322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 207Q00000X Family Medicine | |
| 251J00000X Nursing Care | |
| 363LF0000X Nurse Practitioner, Family | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2010-02-08 |