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Northshore Health Centers, Inc.
Family Nurse Practitioner in Lake Station, Indiana
NPI 1972895647

Northshore Health Centers, Inc. is a Family Nurse Practitioner based in Portage, IN and is specialized in Family. Northshore Health Centers, Inc. practices in Lake Station, IN. The NPI Number for Northshore Health Centers, Inc. is 1972895647 and holds a License No. (Indiana).

The current practice location address for Northshore Health Centers, Inc. is 3304 Parkside Ave, Lake Station, IN and can be reached out via phone at 219-763-8112 and via fax at 219-962-1860.

Location: 3304 Parkside Ave, Lake Station, IN, 46368-9230
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972895647
Provider Name
Northshore Health Centers, Inc.
Credential
Provider Entity Type
Organization
Address
3304 Parkside Ave, Lake Station, IN, 46368-9230
Phone Number
219-763-8112
Fax Number
219-962-1860
Provider Enumeration Date
05/12/2011
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
191360 01 IN MEDICARE PART B PTAN
151874 01 IN MEDICARE PART A PTAN
200331170F 05 IN
institution
Provider Business Practice Location Address Details
Address
3304 Parkside Ave
City
Lake Station
State
Indiana
Zip
46405-1143
Phone Number
219-763-8112
Fax Number
219-962-1860
person
Provider Business Mailing Address Details
Address
3304 Parkside Ave
City
Lake Station
State
Indiana
Zip
46405-1143
Phone Number
219-763-8112
Fax Number
219-962-1860
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
()
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.
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
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