Individual
ELLES SANNE NIESSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 N 16TH ST STE 250, NEW CASTLE, IN 47362
(765) 521-1217
(765) 521-1218
Mailing address
PO BOX 485, NEW CASTLE, IN 47362-0485
(765) 521-1516
(765) 599-3131
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71008109A
IN
Other
Enumeration date
07/05/2018
Last updated
09/10/2020
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