Individual
MICHELE L LOUGHREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.S.
Contact information
Practice address
1225 E COOLSPRING AVE, MICHIGAN CITY, IN 46360-6312
(219) 873-2996
(219) 873-2933
Mailing address
1225 E COOLSPRING AVE, MICHIGAN CITY, IN 46360-6312
(219) 873-2996
(219) 873-2933
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71002281A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200876680
—
IN
Enumeration date
05/02/2007
Last updated
08/09/2011
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