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Organization
YOUR FAMILY AND HEART CARE CENTER WITH PERSONALIZED PREVENTION
Active
Organization
YOUR FAMILY AND HEART CARE CENTER WITH PERSONALIZED PREVENTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA HETTINGER NP-C (OWNER)
(812) 252-9464
Entity
Organization
Contact information
Practice address
1615 BLACKISTON VIEW DR, CLARKSVILLE, IN 47129-2035
(812) 252-9464
Mailing address
1050 CHAPEL CREEK TRL, NEW ALBANY, IN 47150-9647
(812) 252-9464
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201011770A
—
IN
Enumeration date
07/19/2010
Last updated
03/10/2014
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