| NPI | 1952985798 |
|---|---|
| Former Legal Business Name | NWI HEALTH & WELLNESS LLC |
| Entity Type | Organization |
| Authorized Contact | LYNN MCDONALD Credentialing 219-769-1670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2021-05-07 |
| Last Update Date | 2021-09-02 |