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Individual

ALICIA DAWN NAVARRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2824 ELKHART RD, GOSHEN, IN 46526-1014
(574) 535-1700
(574) 535-1799
Mailing address
2824 ELKHART RD, GOSHEN, IN 46526-1014

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71007637A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300008120
IN
Enumeration date
08/10/2017
Last updated
05/03/2023
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