Individual
MRS. JOANN ELIZABETH MARINKOVICH-DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1500 S LAKE PARK AVE SP402, HOBART, IN 46342-6638
(219) 945-4488
(219) 947-6015
Mailing address
8558 BROADWAY, MERRILLVILLE, IN 46410-7032
(219) 392-7084
(219) 703-6854
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71004356A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201140590
—
IN
Enumeration date
01/16/2013
Last updated
01/08/2024
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