Individual
DEBORAH SUE MAIDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2310 CALIFORNIA RD, ELKHART, IN 46514-1228
(574) 264-0791
Mailing address
2310 CALIFORNIA RD, ELKHART, IN 46514-1228
(574) 264-0791
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28092347A
IN
Other
Enumeration date
11/02/2011
Last updated
11/02/2011
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