Individual
AUDRA M DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 ST MARYS EPWORTH XING STE A100, NEWBURGH, IN 47630-9694
(812) 469-8160
Mailing address
100 ST MARYS EPWORTH XING # A100, NEWBURGH, IN 47630-9497
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71007465A
IN
Other
Enumeration date
07/18/2017
Last updated
06/20/2022
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