Individual
NELLI KHALLAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2241 45TH ST, HIGHLAND, IN 46322-2601
(219) 922-8051
(219) 922-8608
Mailing address
2241 45TH ST, HIGHLAND, IN 46322-2601
(219) 922-8051
(219) 922-8608
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71004630A
IN
Other
Enumeration date
11/01/2013
Last updated
11/01/2013
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