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Individual

LOUIS J. PACE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
C.N.S.

Contact information

Practice address
5215 HOLY CROSS PKWY, MISHAWAKA, IN 46545-1469
(574) 335-2315
Mailing address
707 E CEDAR ST STE 405, SOUTH BEND, IN 46617-2059
(574) 335-8707
(574) 335-0760

Taxonomy

Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
71002876A
IN
364SA2100X
Acute Care Clinical Nurse Specialist
Primary
71002876A
IN
364SM0705X
Medical-Surgical Clinical Nurse Specialist
71002876A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1102592253
ANTHEM BCBS
IN
05
201250310
IN
Enumeration date
12/12/2012
Last updated
03/27/2024
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