GRACE IHSIU TODD

LAFAYETTE, IN
NPI1679761761
Former NameGRACE IHSIU LIN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: IN  28180419A)
Additional Taxonomies363LA2200X Nurse Practitioner, Adult Health
(Licence: TX  841764)
Enumeration Date2007-10-15
Last Update Date2014-05-23
Business Address
-- GRACE IHSIU TODD RN, CRNP-Adult
964 MEZZANINE DR PLANNED PARENTHOOD OF INDIANA AND KENTUCKY
LAFAYETTE, IN 47905-8631
Phone number: 765-446-8078
Mailing Address
-- GRACE IHSIU TODD RN, CRNP-Adult
964 MEZZANINE DR PLANNED PARENTHOOD OF INDIANA AND KENTUCKY
LAFAYETTE, IN 47905-8631
Phone number: 765-446-8078