Individual
MA CARMEL QUIJADA BREIDIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
601 GATEWAY BLVD N, CHESTERTON, IN 46304-9658
(219) 921-1444
(219) 921-5303
Mailing address
601 GATEWAY BLVD N, CHESTERTON, IN 46304-9658
(219) 921-1444
(219) 921-5303
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28226979
IN
363L00000X
Nurse Practitioner
Primary
710009280A
IN
Other
Enumeration date
07/08/2019
Last updated
05/05/2021
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