Organization
RIVERVIEW HOSPITAL
Active
Organization
RIVERVIEW HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAYNA L. FRIEND (CFO)
(317) 776-7228
Entity
Organization
Contact information
Practice address
395 WESTFIELD RD, NOBLESVILLE, IN 46060-1425
(317) 773-0760
(317) 776-7921
Mailing address
395 WESTFIELD RD, NOBLESVILLE, IN 46060-1425
(317) 773-0760
(317) 776-7921
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
10001233A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10001233A
INDIANA LICENSE
IN
Enumeration date
11/05/2010
Last updated
08/01/2023
Update your record
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