Organization
EARTHEN VESSELS NURSE MIDWIFERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANIS L CHRISSIKOS CNM (CERTIFIED NURSE MIDWIFE)
(260) 704-7166
Entity
Organization
Contact information
Practice address
251 AIRPORT NORTH OFFICE PARK, FORT WAYNE, IN 46825-6702
(260) 704-7166
(260) 357-0282
Mailing address
1755 COUNTY ROAD 36, AUBURN, IN 46706-9404
(260) 704-7166
(260) 357-0282
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
09000220A
IN
Other
Enumeration date
12/27/2012
Last updated
12/27/2012
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