Indiana Suburban Visiting Physician Services

NPI #1942809140 in Valparaiso, Indiana

Provider Information

NPI Number
1942809140
Entity Type
Organization
Organization Name
Indiana Suburban Visiting Physician Services
Primary Specialty
Nurse Practitioner - Primary Care
Enumeration Date
Oct 20, 2020
Last Updated
Oct 20, 2020

Practice Location

Address
5 WASHINGTON ST STE 300
State
Indiana
ZIP Code
46383-4769
Phone
(312) 257-1747

Authorized Official

Name
RACHELE SMITH
Title
MANAGER
Phone
(513) 377-9374

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Primary CarePrimary Care

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