Individual
NICOLE SRUTOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3750 LANDMARK DR STE B, LAFAYETTE, IN 47905-6652
(765) 838-4100
Mailing address
3750 LANDMARK DR STE B, LAFAYETTE, IN 47905-6652
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71010257A
IN
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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