Organization
INDIANA SUBURBAN VISITING PHYSICIAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHELE SMITH (MANAGER)
(513) 377-9374
Entity
Organization
Contact information
Practice address
5 WASHINGTON ST STE 300, VALPARAISO, IN 46383-4769
(312) 257-1747
Mailing address
5 WASHINGTON ST STE 300, VALPARAISO, IN 46383-4769
(312) 257-1747
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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