Individual
MISS MADISON ASHLEY PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6913 N MAIN ST STE 200, GRANGER, IN 46530-8039
(574) 647-4540
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28243112A
IN
Other
Enumeration date
07/14/2022
Last updated
05/01/2023
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