Nurse Practitioner Services Of Michiana

LBN: Nurse Practitioner Services Of Michiana
Nurse Practitioner Services Of Michiana is an health care organization with primary practice located at 2901 E Bristol St Ste B , Elkhart IN 46514-4385. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Nurse Practitioner Services Of Michiana can be contacted via phone (574) 622-1522, or through Stephanie, Kertes via phone (574) 274-3925.

Contact Information

Primary practice address
2901 E Bristol St Ste B Elkhart IN 46514-4385
Phone: (574) 622-1522
Fax: (833) 310-2090
Website:
Map and Directions
Authorized official contact:
Name: Stephanie, Kertes Nurse Practitioner (NP)
Phone: (574) 274-3925

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1225605207
LBN Legal business name Nurse Practitioner Services Of Michiana
DBA Doing business as Nurse Practitioner Services Of Michiana
Authorized official Stephanie, Kertes Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2021
Last updated Nov 1st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225605207 NPPES
Indiana MEDICAID 201317770

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