Individual
MARY L NIERZWICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
600 N JORDAN AVE, BLOOMINGTON, IN 47405-3190
(812) 855-3284
Mailing address
600 N JORDAN AVE, BLOOMINGTON, IN 47405-3190
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71000117
IN
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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