Individual
MICHELLE RAE MODLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1542 S BLOOMINGTON ST, GREENCASTLE, IN 46135-2212
(765) 658-2700
Mailing address
1542 S BLOOMINGTON ST, GREENCASTLE, IN 46135-2212
(765) 658-2700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
28189230A
IN
363LF0000X
Family Nurse Practitioner
Primary
71005906A
IN
Other
Enumeration date
05/08/2015
Last updated
07/11/2024
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