Paunicka, Nancy Jane

Paunicka, Nancy Jane is an individual health care provider with primary practice located at 3777 North Frontage Road , Michigan City IN 46360-7694. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Paunicka, Nancy Jane can be contacted via phone (219) 877-3880.

Contact Information

Primary practice address
3777 North Frontage Road Michigan City IN 46360-7694
Phone: (219) 877-3880
Fax: (219) 879-6365
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71000141A Indiana

Profile Details

NPI number 1841287299
LBN Legal business name Paunicka, Nancy Jane
Credentials RN MS-FNP-CS
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Nov 28th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841287299 NPPES
Indiana Other 000000772332 ANTHEM BCBS
Indiana Other M400075623 ANTHEM BCBS
Indiana MEDICAID 200083140 ANTHEM BCBS

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