| NPI | 1669788428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENNY CAROL LANE Practice Manager, Nurse Midwife 765-436-7527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: IN 09000137A) |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: IN P8035426) |
| 367A00000X Advanced Practice Midwife (Licence: IN 09000198A) | |
| 374J00000X Doula | |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2010-08-30 |