person
John Walsh, AG-ACNP
Acute Care Nurse Practitioner in South Bend, Indiana
NPI 1316427560

John Walsh is an Acute Care Nurse Practitioner based in Granger, IN and is specialized in Acute Care. John Walsh practices in South Bend, IN and has the professional credentials of AG-ACNP. The NPI Number for John Walsh is 1316427560 and holds a License No. 71008427A (Indiana).

The current practice location address for John Walsh is 621 Memorial Dr Ste 502, South Bend, IN and can be reached out via phone at 574-647-5875 and via fax at 574-647-5878.

Location: 621 Memorial Dr Ste 502, South Bend, IN, 46530-1380
person
Provider Profile Details
NPI Number
1316427560
Provider Name
John Walsh
Credential
AG-ACNP
Provider Entity Type
Individual
Gender
Male
Address
621 Memorial Dr Ste 502, South Bend, IN, 46530-1380
Phone Number
574-647-5875
Fax Number
574-647-5878
Provider Enumeration Date
08/17/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300021695 05 IN
institution
Provider Business Practice Location Address Details
Address
621 Memorial Dr Ste 502
City
State
Zip
46601-1075
Phone Number
574-647-5875
Fax Number
574-647-5878
person
Provider Business Mailing Address Details
Address
621 Memorial Dr Ste 502
City
State
Zip
46601-1075
Phone Number
574-647-5875
Fax Number
574-647-5878
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
71008427A (Indiana)
Definition
Definition to come...
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