NPI Registry.org

Nurse Practitioner Services Of Michiana

NPI Registration Record

Provider / OrganizationNPIDate Certified
NURSE PRACTITIONER SERVICES OF MICHIANA12256052072022-01-09

The organization Nurse Practitioner Services Of Michiana is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1225605207. Registration indicates Nurse Practitioner Services Of Michiana is a provider of services with a specialization in Ambulatory Health Care Facilities, Clinic/Center (Clinic/Center: Primary Care, ) (Primary Care/Family Planning/APRN/PA, ) (Clinic/Center Primary Care, Ambulatory Health Care Facilities) (Clinic/Center, )

Other Names:
Entity TypeOrganization
Provider OrganizationNURSE PRACTITIONER SERVICES OF MICHIANA
Other Provider OrganizationNURSE PRACTITIONER SERVICES
Practice Office Address2004 MISHAWAKA STREET
ELKHART, IN US
Practice Office Telephone5746221522
Practice Office Fax8333102090
Mailing Address2004 MISHAWAKA STREET
ELKHART, IN 465148548 US
Business Telephone5746221522
Business Fax8333102090
Authorized OfficialSTEPHANIE KAY KERTES, OWNER/MANAGER
5746221522
Contact Endpoints
Business email [email][email protected]Direct
email [][email protected]Direct
HPT Codes
CodePractice
License No
State
261QP2300X PRIMARY
Ambulatory Health Care Facilities
Clinic/Center
Clinic/Center: Primary Care

Primary Care/Family Planning/APRN/PA

Clinic/Center Primary Care
Ambulatory Health Care Facilities
Clinic/Center
OPI Codes
201317770 MEDICAID IN
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