Individual
ROSE MARIE FLINCHUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNS, RN
Contact information
Practice address
1300 STATE ST, SUITE 1A, LA PORTE, IN 46350-3185
(219) 326-1234
(219) 325-7682
Mailing address
1300 STATE ST, SUITE 1A, LA PORTE, IN 46350-3185
(219) 326-1234
(219) 325-7682
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041278685
IL
163W00000X
Registered Nurse
28069463A
IN
163WD0400X
Diabetes Educator Registered Nurse
CDE 0942-0223
IN
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
NOT REQUIRED IN IN
IN
Other
Enumeration date
07/10/2014
Last updated
07/10/2014
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