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Individual

CORRINA CAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1630 LAFAYETTE RD STE 200, CRAWFORDSVILLE, IN 47933-1092
(765) 359-2230
(765) 359-2236
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71006459A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201386620
IN
01
471400398
MEDICARE
IN
Enumeration date
05/06/2016
Last updated
12/23/2022
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