institution
Northeast Internal Medicine
Primary Care Nurse Practitioner in Lagrange, Indiana
NPI 1366859779

Northeast Internal Medicine is a Primary Care Nurse Practitioner based in Lagrange, IN and is specialized in Primary Care. Northeast Internal Medicine practices in Lagrange, IN. The NPI Number for Northeast Internal Medicine is 1366859779 and holds a License No. 71004993A (Indiana).

The current practice location address for Northeast Internal Medicine is 2500 N Detroit St, Lagrange, IN and can be reached out via phone at 260-463-2133.

Location: 2500 N Detroit St, Lagrange, IN, 46761-0236
institution
Provider Profile Details
NPI Number
1366859779
Provider Name
Northeast Internal Medicine
Credential
Provider Entity Type
Organization
Address
2500 N Detroit St, Lagrange, IN, 46761-0236
Phone Number
260-463-2133
Fax Number
Provider Enumeration Date
07/17/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2500 N Detroit St
City
State
Zip
46761-1158
Phone Number
260-463-2133
Fax Number
person
Provider Business Mailing Address Details
Address
2500 N Detroit St
City
State
Zip
46761-1158
Phone Number
260-463-2133
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
71004993A (Indiana)
Definition
Definition to come...
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