| NPI | 1639560477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK RANKIN Chief Medical Officer 317-621-9312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 28193222A) |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2015-02-16 |