Individual
EILEEN DEWIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
323 CONRAD HARCOURT WAY, RUSHVILLE, IN 46173-1116
(765) 932-7081
(765) 932-7582
Mailing address
1300 N MAIN STREET, RUSHVILLE, IN 46173-1116
(765) 932-4111
(765) 932-7062
Taxonomy
Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
28185741A
IN
363L00000X
Nurse Practitioner
Primary
71006533A
IN
Other
Enumeration date
08/12/2016
Last updated
10/08/2018
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