| NPI | 1669367629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUANITA GOLDEN-ALLEN Member 219-306-9633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy |
| 163WP0000X Registered Nurse, Pain Management | |
| 364SH1100X Clinical Nurse Specialist, Holistic | |
| Enumeration Date | 2025-06-10 |
| Last Update Date | 2025-06-13 |