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Mary Vernon

Registered Nurse in Mishawaka, IN. Individual provider (NPI-1).

NPI number1003501255
StatusActive
Last updated in NPPESApr 5, 2023

Details

NPI
1003501255
Entity type
Individual (NPI-1)
Name
Mary Vernon
Sex
Female
Sole proprietor
No
Enumeration date
Apr 5, 2023
Certification date
Apr 5, 2023
Last updated
Apr 5, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse28086350aINYes

Practice location

1540 Trinity Pl
Mishawaka, IN 46545-5006

Phone 574-272-9000

Mailing address

9102 Morraine Hills Rd
Michigan City, IN 46360-9409

Phone 219-873-4116

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