Individual
PATRICIA KONVALINKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, ANP
Contact information
Practice address
7905 CALUMET AVE, HAMMOND CLINIC LLC, MUNSTER, IN 46321-1215
(219) 836-7214
(219) 836-0343
Mailing address
7905 CALUMET AVE, HAMMOND CLINIC LLC, MUNSTER, IN 46321-1215
(219) 836-7214
(219) 836-0343
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71000893
IN
Other
Enumeration date
06/04/2006
Last updated
07/08/2007
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