Organization
PURDUE UNIVERSITY
Active
Other names
IPFW Center for Healthy Living: Campus Clinic and Wellness Programs
Organization subpart
No
Provider details
NPI number
Authorized official
CREASIE E HILL (HEALTH CLINIC OFFICE MANAGER)
(206) 481-6967
Entity
Organization
Contact information
Practice address
2101 E COLISEUM BLVD, WU 234, FORT WAYNE, IN 46805-1445
(260) 481-0400
Mailing address
2101 E COLISEUM BLVD, WU 234, FORT WAYNE, IN 46805-1445
(260) 481-0400
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
28079817
IN
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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