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 | |
363LF0000X Nurse Practitioner, Family (Licence: IN 28204676A) | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2015-04-20 |
Last Update Date | 2020-08-14 |