institution
Connie S Carunchia Professional Corporation
Gerontology Nurse Practitioner in Kendallville, Indiana
NPI 1487948816

Connie S Carunchia Professional Corporation is a Gerontology Nurse Practitioner based in Kendallville, IN and is specialized in Gerontology. Connie S Carunchia Professional Corporation practices in Kendallville, IN. The NPI Number for Connie S Carunchia Professional Corporation is 1487948816 and holds a License No. 55000068A (Indiana).

The current practice location address for Connie S Carunchia Professional Corporation is 5900 E 500 N, Kendallville, IN and can be reached out via phone at 260-349-8185 and via fax at 888-347-0088.

Location: 5900 E 500 N, Kendallville, IN, 46755-9349
institution
Provider Profile Details
NPI Number
1487948816
Provider Name
Connie S Carunchia Professional Corporation
Credential
Provider Entity Type
Organization
Address
5900 E 500 N, Kendallville, IN, 46755-9349
Phone Number
260-349-8185
Fax Number
888-347-0088
Provider Enumeration Date
06/02/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201023750A 05 IN
DS6979 01 RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
5900 E 500 N
City
State
Zip
46755-9349
Phone Number
260-349-8185
Fax Number
888-347-0088
person
Provider Business Mailing Address Details
Address
5900 E 500 N
City
State
Zip
46755-9349
Phone Number
260-349-8185
Fax Number
888-347-0088
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
55000068A (Indiana)
Definition
Definition to come...
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