Individual
REBECCA EHRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
400 LEGACY PLZ W, LA PORTE, IN 46350-5296
(219) 326-1775
Mailing address
400 LEGACY PLAZA W, LA PORTE, IN 46350
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F09171206
IN
Other
Enumeration date
09/26/2017
Last updated
09/18/2020
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