Individual
CHRISTINE VIRGINIA PANKAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4199 GATEWAY BLVD, SUITE 2300, NEWBURGH, IN 47630
(812) 858-4600
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28209145A
IN
363LW0102X
Women's Health Nurse Practitioner
71007499A
IN
Other
Enumeration date
11/06/2017
Last updated
12/02/2021
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