Individual
RAVEN ANTOINETTE LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1923 W GLEN PARK AVE, GRIFFITH, IN 46319-3703
(219) 922-2535
Mailing address
450 N TIPPECANOE CT, GARY, IN 46403-2229
(219) 741-7122
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28227486A
IN
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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