Individual
CAROLINE L MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
211 N EDDY ST, SOUTH BEND, IN 46617
(574) 299-2450
Mailing address
211 N EDDY ST, SOUTH BEND, IN 46617-3096
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71004245A
IN
Other
Enumeration date
11/20/2012
Last updated
08/27/2018
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