Individual
CONNIE CLOUGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1540 TRINITY PL, MISHAWAKA, IN 46545-5006
(574) 272-9000
Mailing address
1226 S WALNUT ST, LA PORTE, IN 46350-6336
(219) 851-3220
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
28106474A
IN
Other
Enumeration date
06/06/2022
Last updated
06/06/2022
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