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Individual

MICHAELA B NUFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NNP-BC

Contact information

Practice address
600 EAST BLVD, WEST WING, ELKHART, IN 46514-2483
(574) 523-2751
(574) 389-4840
Mailing address
600 EAST BLVD, ELKHART, IN 46514-2483

Taxonomy

Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
28068582A
IN
163WN0003X
Low-Risk Neonatal Registered Nurse
28068582A
IN
363LN0000X
Neonatal Nurse Practitioner
Primary
71003932A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000734846
ANTHEM
IN
05
201037120
IN
01
28068582A
RN LICENSE
IN
01
NUF104285891
NCC NEONATAL NURSE PRACTITIONER CERTIFICATION
IN
Enumeration date
09/23/2011
Last updated
02/26/2015
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