Individual
DIANE RESNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2606 PEDDLERS VILLAGE RD, SUITE 215, GOSHEN, IN 46526-1004
(574) 534-1135
Mailing address
2606 PEDDLERS VILLAGE RD, SUITE 215, GOSHEN, IN 46526-1004
(574) 534-1135
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28101496A
IN
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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