Individual
PAULA JEAN ROUSIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1100 W 6TH AVE, GARY, IN 46402-1711
(219) 885-4246
Mailing address
1100 W 6TH AVE, GARY, IN 46402-1711
(219) 885-4624
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2808733A
IN
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
2808733A
IN
Other
Enumeration date
02/27/2019
Last updated
02/27/2019
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