| NPI | 1912432832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARYN E INMAN Credentialing Manager 812-699-4153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71007062A) |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2017-04-28 |