Individual
MARBLE SIMBI-MUJEYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 EAST BLVD, ELKHART, IN 46514-2483
(574) 524-8130
(574) 524-8138
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(574) 647-2129
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28213872A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300079214
—
IN
Enumeration date
08/30/2021
Last updated
10/13/2023
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