NPI | 1659780708 |
---|---|
Doing Business As | MARY ANN WIETBROCK, CNS |
Entity Type | Organization |
Authorized Contact | MARY ANN WIETBROCK Clinical Nurse Specialist 317-410-9140 |
Organization Subpart ? | No |
Primary Taxonomy | 364SC1501X Clinical Nurse Specialist, Community Health/Public Health (Licence: IN 28088637A) |
Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: IN 28088637A) |
364SC2300X Clinical Nurse Specialist, Chronic Care (Licence: IN 28088637A) | |
364S00000X Clinical Nurse Specialist (Licence: IN 28088637A) | |
364SH1100X Clinical Nurse Specialist, Holistic (Licence: IN 28088637A) | |
364SH0200X Clinical Nurse Specialist, Home Health (Licence: IN 28088637A) | |
364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: IN 28088637A) | |
364SX0106X Clinical Nurse Specialist, Occupational Health (Licence: IN 28088637A) | |
364SS0200X Clinical Nurse Specialist, School (Licence: IN 28088637A) | |
Enumeration Date | 2014-08-02 |
Last Update Date | 2014-08-26 |