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Barbara Chupp-grove
Family Nurse Practitioner in Mishawaka, Indiana
NPI 1154571792

Barbara Chupp-grove is a Family Nurse Practitioner based in Portland, IN and is specialized in Family. Barbara Chupp-grove practices in Mishawaka, IN. The NPI Number for Barbara Chupp-grove is 1154571792 and holds a License No. 71002740A (Indiana).

The current practice location address for Barbara Chupp-grove is 710 Park Pl, Mishawaka, IN and can be reached out via phone at 574-273-6767 and via fax at 574-968-7160.

Location: 710 Park Pl, Mishawaka, IN, 97208-4049
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154571792
Provider Name
Barbara Chupp-grove
Credential
Provider Entity Type
Individual
Gender
Female
Address
710 Park Pl, Mishawaka, IN, 97208-4049
Phone Number
574-273-6767
Fax Number
574-968-7160
Provider Enumeration Date
09/19/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200928140 05 IN
institution
Provider Business Practice Location Address Details
Address
710 Park Pl
City
Mishawaka
State
Indiana
Zip
46545-3519
Phone Number
574-273-6767
Fax Number
574-968-7160
person
Provider Business Mailing Address Details
Address
710 Park Pl
City
Mishawaka
State
Indiana
Zip
46545-3519
Phone Number
574-273-6767
Fax Number
574-968-7160
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
71002740A (Indiana)
Definition
Definition to come...
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