Individual
KELLY MAE LOSINIECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
211 N EDDY ST., SOUTH BEND, IN 46617-3096
(574) 237-9231
(574) 204-6355
Mailing address
211 N EDDY ST, SOUTH BEND, IN 46617-2808
(574) 237-9231
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71003885A
IN
363LF0000X
Family Nurse Practitioner
Primary
28176558A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000758607
BCBS BMG NORTH CENTRAL NEUROSURGERY
IN
05
—
201058080
—
IN
01
—
P01203728
RR MEDICARE
IN
Enumeration date
01/17/2012
Last updated
03/07/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us