Individual
DORISSE MIREILLE NGUIMFACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1345 UNITY PL STE 355, LAFAYETTE, IN 47905-5761
(765) 807-7988
(765) 807-7989
Mailing address
PO BOX 4699, LAFAYETTE, IN 47903-4699
(765) 449-2732
(765) 449-1196
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
37779
TN
363L00000X
Nurse Practitioner
5720-33
WI
363LA2200X
Adult Health Nurse Practitioner
2013010559
WI
363LF0000X
Family Nurse Practitioner
Primary
71007668A
IN
363LG0600X
Gerontology Nurse Practitioner
2013010559
WI
363LG0600X
Gerontology Nurse Practitioner
26NJ15240000
NJ
Other
Enumeration date
02/11/2014
Last updated
05/16/2025
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