Individual
LEYNA MIDKIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 W 84TH DR, MERRILLVILLE, IN 46410-6248
(219) 769-8641
Mailing address
400 W 84TH DR, MERRILLVILLE, IN 46410-6248
(219) 769-2669
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209012051
IL
363LF0000X
Family Nurse Practitioner
Primary
71006478A
IN
Other
Enumeration date
11/05/2014
Last updated
09/18/2024
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