Organization
FAMILY MEDICINE CONSULTANTS CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA DENISE GIVENS NURSE PRACTITIONER (NURSE PRACTITIONER)
(219) 882-7730
Entity
Organization
Contact information
Practice address
650 GRANT ST STE 5, GARY, IN 46404-1551
(219) 882-7730
(219) 882-1605
Mailing address
650 GRANT ST STE 5, GARY, IN 46404-1551
(219) 882-7730
(219) 882-1605
Taxonomy
Speciality
Code
Description
License number
State
281P00000X
Chronic Disease Hospital
71002672A
IN
314000000X
Skilled Nursing Facility
Primary
71002672A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200171090B
—
IN
Enumeration date
10/24/2008
Last updated
10/24/2008
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