Individual
CINDY PETZKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
113 LINCOLNWAY E, MISHAWAKA, IN 46544-2016
(574) 314-5987
(833) 907-2315
Mailing address
113 LINCOLNWAY E, MISHAWAKA, IN 46544-2016
(574) 314-5987
(833) 907-2315
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3010093
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71014905A
IN
Other
Enumeration date
07/23/2010
Last updated
05/08/2026
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