Individual
MARLEE R PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3190 LANCER ST, PORTAGE, IN 46368-4488
(219) 764-3600
Mailing address
3190 LANCER ST, PORTAGE, IN 46368-4488
(219) 764-3600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28164906A
IN
363LF0000X
Family Nurse Practitioner
Primary
71004615A
IN
Other
Enumeration date
08/09/2013
Last updated
01/04/2022
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