Individual
ASA MARIE NIEDBALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
1597 COLD SPRINGS DR, PENDLETON, IN 46064-5506
(574) 274-2560
(317) 219-0879
Mailing address
1597 COLD SPRINGS DR, PENDLETON, IN 46064-5506
(574) 274-2560
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
71011321A
IN
Other
Enumeration date
07/15/2021
Last updated
05/16/2024
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