Individual
MILDRED SENERIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1716 HARTFORD ST, LAFAYETTE, IN 47904-2173
(765) 742-1567
Mailing address
407 W SOUTH ST, REMINGTON, IN 47977-8627
(317) 902-2392
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28237008A
IN
Other
Enumeration date
12/27/2024
Last updated
12/27/2024
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