| NPI | 1902784887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON ANISE SMITH Family Nurse Practitioner 219-224-3205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2025-08-26 |
| Last Update Date | 2025-09-14 |