Individual
NANCY ANNE INQUILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP
Contact information
Practice address
316 INDIAN RIDGE BLVD, MISHAWAKA, IN 46545-9034
(800) 635-5516
Mailing address
3355 DOUGLAS RD, SUITE 300, SOUTH BEND, IN 46635-1781
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71000991A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200805920
—
IN
Enumeration date
01/31/2006
Last updated
12/17/2008
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