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Southern Indiana Family Practice Center Pc
Nurse Practitioner in Bloomington, Indiana
NPI 1770626152

Southern Indiana Family Practice Center Pc is a Nurse Practitioner based in Bloomington, IN. Southern Indiana Family Practice Center Pc practices in Bloomington, IN. The NPI Number for Southern Indiana Family Practice Center Pc is 1770626152 and holds a License No. 01055670A (Indiana).

The current practice location address for Southern Indiana Family Practice Center Pc is 3209 W Fullerton Pike, Bloomington, IN and can be reached out via phone at 812-339-6744 and via fax at 812-671-9113. You can also correspond with Southern Indiana Family Practice Center Pc through the mailing address at 3209 W FULLERTON PIKE, BLOOMINGTON, IN - 47403-4060 (mailing address contact number: 812-339-6744).

Location: 3209 W Fullerton Pike, Bloomington, IN, 47403-4060
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770626152
Provider Name
Southern Indiana Family Practice Center Pc
Credential
Provider Entity Type
Organization
Address
3209 W Fullerton Pike, Bloomington, IN, 47403-4060
Phone Number
812-339-6744
Fax Number
812-671-9113
Provider Enumeration Date
02/15/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200367600A 05 IN
institution
Provider Business Practice Location Address Details
Address
3209 W Fullerton Pike
City
Bloomington
State
Indiana
Zip
47403-4060
Phone Number
812-339-6744
Fax Number
812-671-9113
person
Provider Business Mailing Address Details
Address
3209 W Fullerton Pike
City
Bloomington
State
Indiana
Zip
47403-4060
Phone Number
812-339-6744
Fax Number
812-671-9113
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
71002130A (Indiana)
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
01055670A (Indiana)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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