| NPI | 1851128821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA F FRAIS CEO 317-985-9335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| 363LG0600X Nurse Practitioner, Gerontology | |
| Enumeration Date | 2024-09-16 |
| Last Update Date | 2024-09-16 |