Individual
NATASHA M SUBRAMANIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1314 E 7TH ST STE 103, AUBURN, IN 46706-2533
(260) 927-1982
(260) 927-8380
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71005380A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201285090
—
IN
Enumeration date
01/23/2015
Last updated
10/07/2022
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