| NPI | 1649721267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUANE SNIDER Mbr 317-946-9929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 111N00000X Chiropractor |
| 364S00000X Clinical Nurse Specialist | |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2024-11-14 |