| NPI | 1689425928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE O'ROURKE Nurse Practitioner 317-437-0599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LC1500X Nurse Practitioner Community Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2024-03-27 |
| Last Update Date | 2024-04-08 |