ELLEN HENNESSY-HARSTAD

MUNSTER, IN
NPI1639337413
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: IN  71000811A)
Enumeration Date2008-05-28
Last Update Date2008-05-28
Business Address
-- ELLEN HENNESSY-HARSTAD PNP
9128 COLUMBIA AVE
MUNSTER, IN 46321-2907
Phone number: 219-836-2730
Mailing Address
-- ELLEN HENNESSY-HARSTAD PNP
9128 COLUMBIA AVE
MUNSTER, IN 46321-2907
Phone number: 219-836-2730
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