| NPI | 1740885565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH MONIZ Director Of Clinical Quality 574-286-2074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| 363LC1500X Nurse Practitioner, Community Health | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2023-11-30 |