Individual
MICHELLE CHRISTINE DUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., N.P.
Contact information
Practice address
610 N MORTON STREET, BLOOMIGTON, IN 47404
(765) 212-7742
Mailing address
1135 E SECRETARIAT CT, BLOOMINGTON, IN 47401-8353
(765) 212-7742
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71009482A
IN
Other
Enumeration date
11/11/2019
Last updated
11/11/2019
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