person
Mrs. Elizabeth Diane Schalliol, NP
Women's Health Nurse Practitioner in South Bend, Indiana
NPI 1104973536

Elizabeth Diane Schalliol is a Women's Health Nurse Practitioner based in South Bend, IN and is specialized in Women's Health. Elizabeth Diane Schalliol practices in South Bend, IN and has the professional credentials of NP. The NPI Number for Elizabeth Diane Schalliol is 1104973536 and holds a License No. 71002043A (Indiana).

The current practice location address for Elizabeth Diane Schalliol is 621 Memorial Dr Ste 302, South Bend, IN and can be reached out via phone at 574-367-3800 and via fax at 574-367-3801. You can also correspond with Elizabeth Diane Schalliol through the mailing address at 710 N NILES AVE, SOUTH BEND, IN - 46617-1924 (mailing address contact number: 574-647-1610).

Location: 621 Memorial Dr Ste 302, South Bend, IN, 46617-1924
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Provider Profile Details
NPI Number
1104973536
Provider Name
Elizabeth Diane Schalliol
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
621 Memorial Dr Ste 302, South Bend, IN, 46617-1924
Phone Number
574-367-3800
Fax Number
574-367-3801
Provider Enumeration Date
01/05/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200866450 05 IN
institution
Provider Business Practice Location Address Details
Address
621 Memorial Dr Ste 302
City
State
Zip
46601-1073
Phone Number
574-367-3800
Fax Number
574-367-3801
person
Provider Business Mailing Address Details
Address
710 N Niles Ave
City
State
Zip
46617-1924
Phone Number
574-647-1610
Fax Number
574-237-6069
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Women's Health
Taxonomy
License No.
71002043A (Indiana)
Definition
Definition to come...
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