Individual
LISA MARIE BUDKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NP-C
Contact information
Practice address
1001 STURDY RD, VALPARAISO, IN 46383-4126
(219) 462-7173
(219) 462-7504
Mailing address
2401 VALLEY DR, VALPARAISO, IN 46383-2520
(219) 413-5100
(219) 465-9502
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28171591A
IN
363LP2300X
Primary Care Nurse Practitioner
71004318A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201138960
—
IN
Enumeration date
12/26/2012
Last updated
06/30/2023
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