Individual
CAROL LOUISE SIKORSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
1901 W WESTERN AVE, SOUTH BEND, IN 46619-3521
(574) 234-0933
(574) 283-0054
Mailing address
1901 W WESTERN AVE, SOUTH BEND, IN 46619-3521
(574) 234-0933
(574) 283-0054
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
71001090A
IN
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
71001090C
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71001090C
STATE NP LICENSE #
IN
Enumeration date
02/12/2007
Last updated
03/07/2023
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