Individual
MARIANNE K SCHALLMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
8895 BROADWAY, MERRILLVILLE, IN 46410-7037
(219) 738-2081
(219) 736-4658
Mailing address
8895 BROADWAY, MERRILLVILLE, IN 46410-7037
(219) 738-2081
(219) 736-4658
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28115564A
IN
364S00000X
Clinical Nurse Specialist
28115564A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200805890
—
IN
Enumeration date
07/11/2006
Last updated
01/20/2010
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