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Kelly Mae Losiniecki, NP
Family Nurse Practitioner in South Bend, Indiana
NPI 1013288448

Kelly Mae Losiniecki is a Family Nurse Practitioner based in South Bend, IN and is specialized in Family. Kelly Mae Losiniecki practices in South Bend, IN and has the professional credentials of NP. The NPI Number for Kelly Mae Losiniecki is 1013288448 and holds a License No. 71003885A (Indiana).

The current practice location address for Kelly Mae Losiniecki is 211 N Eddy St., South Bend, IN and can be reached out via phone at 574-237-9231 and via fax at 574-204-6355.

Location: 211 N Eddy St., South Bend, IN, 46617-2808
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013288448
Provider Name
Kelly Mae Losiniecki
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
211 N Eddy St., South Bend, IN, 46617-2808
Phone Number
574-237-9231
Fax Number
574-204-6355
Provider Enumeration Date
01/17/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000758607 01 IN BCBS BMG NORTH CENTRAL NEUROSURGERY
P01203728 01 IN RR MEDICARE
201058080 05 IN
institution
Provider Business Practice Location Address Details
Address
211 N Eddy St.
City
South Bend
State
Indiana
Zip
46617-3096
Phone Number
574-237-9231
Fax Number
574-204-6355
person
Provider Business Mailing Address Details
Address
211 N Eddy St.
City
South Bend
State
Indiana
Zip
46617-3096
Phone Number
574-237-9231
Fax Number
574-204-6355
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
28176558A (Indiana)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
71003885A (Indiana)
Definition
Definition to come...
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