Individual
MR. PETER MUGETHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A-GNP-C
Contact information
Practice address
236 SIMPSON AVE, ELKHART, IN 46516-4666
(574) 293-0052
Mailing address
236 SIMPSON AVE, ELKHART, IN 46516-4666
(574) 293-0052
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71013009A
IN
Other
Enumeration date
08/15/2022
Last updated
11/03/2023
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