| NPI | 1922614965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAQUITA TOWNSEND Owner Provider 317-362-0293 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Additional Taxonomies | 261QU0200X Clinic/Center Urgent Care |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2021-10-20 |