| 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) |
| 364S00000X Clinical Nurse Specialist (Licence: IN 28088637A) | |
| 364SC2300X Clinical Nurse Specialist Chronic Care (Licence: IN 28088637A) | |
| 364SH0200X Clinical Nurse Specialist Home Health (Licence: IN 28088637A) | |
| 364SH1100X Clinical Nurse Specialist Holistic (Licence: IN 28088637A) | |
| 364SM0705X Clinical Nurse Specialist Medical-Surgical (Licence: IN 28088637A) | |
| 364SS0200X Clinical Nurse Specialist School (Licence: IN 28088637A) | |
| 364SX0106X Clinical Nurse Specialist Occupational Health (Licence: IN 28088637A) | |
| Enumeration Date | 2014-08-02 |
| Last Update Date | 2014-08-26 |