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Psychiatric/Mental Health Nurse Practitioner
NPI: 1851896013IndividualAccepts Medicare
Specialties, Licenses & Credentials
Registered Nurse
Registered Nurse
Code: 163W00000X
28174234A(IN)
Psychiatric/Mental Health Nurse PractitionerPrimary
Nurse Practitioner — Psychiatric/Mental Health
Code: 363LP0808X
71008166A(IN)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2018
Contact & Hours
- Address
- 4320 FIR ST UNIT 217
EAST CHICAGO, IN 46312 - Phone
- (219) 392-7025
Quick Facts
- NPI
- 1851896013
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 8
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