| NPI | 1770864985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD BERFIEND Chief Operating Officer 765-751-2795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71003655A) |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2011-09-01 |