| NPI | 1912259391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIEASHA RICHARDSON Family Nurse Practitioner/Owner 317-496-7976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71003015A) |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2012-10-17 |