| NPI | 1649961541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID N. NJUNGE Manager 765-430-8527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2023-05-19 |
| Last Update Date | 2024-01-02 |