Privia Medical Group Indiana, LLC
NPI #1568147809 in Wakarusa, Indiana
Provider Information
- NPI Number
- 1568147809
- Entity Type
- Organization
- Organization Name
- Privia Medical Group Indiana, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- ELKHART CLINIC, LLC
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Jun 15, 2023
- Last Updated
- May 12, 2025
Practice Location
Authorized Official
- Name
- MEGAN LEIGH CARLSON
- Title
- PROVIDER ENROLLMENT
- Phone
- (574) 296-3991
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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