Individual
MS. MYRA J. OSWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
303 S NAPPANEE ST, ELKHART, IN 46514-2066
(574) 296-3307
(574) 296-3309
Mailing address
PO BOX 2968, ELKHART, IN 46515-2968
(574) 296-3307
(574) 296-3309
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71000022A
IN
363LA2200X
Adult Health Nurse Practitioner
28051896A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200030760A
—
IN
Enumeration date
06/15/2005
Last updated
03/16/2010
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