Individual
BILLIE RAE FEDERSPIEL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
403 E MADISON ST, SOUTH BEND, IN 46617-2322
(574) 234-0061
(574) 283-1209
Mailing address
1720 STONECREEK DR, NILES, MI 49120-8686
(269) 683-5745
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71000865A
IN
Other
Enumeration date
02/23/2006
Last updated
07/08/2007
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