Individual
GRACE IHSIU TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CRNP-ADULT
Contact information
Practice address
964 MEZZANINE DR, PLANNED PARENTHOOD OF INDIANA AND KENTUCKY, LAFAYETTE, IN 47905-8631
(765) 446-8078
(765) 446-8160
Mailing address
964 MEZZANINE DR, PLANNED PARENTHOOD OF INDIANA AND KENTUCKY, LAFAYETTE, IN 47905-8631
(765) 446-8078
(765) 446-8160
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
28180419A
IN
363LA2200X
Adult Health Nurse Practitioner
841764
TX
Other
Enumeration date
10/15/2007
Last updated
05/23/2014
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