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Individual

NATHAN BUELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2325 18TH ST STE 130, COLUMBUS, IN 47201-5387
(812) 379-2020
Mailing address
PO BOX 775383, CHICAGO, IL 60677-5383

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
FQ6221573
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300066033
IN
Enumeration date
06/13/2022
Last updated
08/22/2022
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