Individual
ARSHIA ANJUM MOHIUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
761 45TH ST STE 123, MUNSTER, IN 46321-2899
(219) 924-2500
(219) 924-2502
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71002882A
IN
363LF0000X
Family Nurse Practitioner
Primary
71002882A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201080970
—
IN
Enumeration date
12/31/2009
Last updated
08/23/2024
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