| NPI | 1659768356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADESHOLA ABDULWAHID AFOLABI President/CEO 317-588-1039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine | |
| 2084H0002X Psychiatry & Neurology, Hospice and Palliative Medicine | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 28204676A) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2020-08-14 |