Individual
NADIA KIDUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
60137 COUNTY ROAD 21, GOSHEN, IN 46528-7838
(574) 538-7746
Mailing address
60137 COUNTY ROAD 21, GOSHEN, IN 46528-7838
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28172248A
IN
363LF0000X
Family Nurse Practitioner
Primary
71004226
IN
Other
Enumeration date
10/18/2012
Last updated
07/06/2022
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