Individual
CONSTANCE SHEETS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, RN, GCNS-BC
Contact information
Practice address
9003 W 200 S, LA PORTE, IN 46350-9503
(219) 785-4194
Mailing address
836 LA PORTE AVE LEBIEN HALL ROOM #6, VALPARAISO, IN 46383
(218) 464-5297
Taxonomy
Speciality
Code
Description
License number
State
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
28118004A
IN
Other
Enumeration date
09/30/2014
Last updated
09/30/2014
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