Healthy Indiana Psychiatric Services
Nurse Practitioner, Family in Anderson, IN. Organization (NPI-2).
NPI number1104591106
StatusActive
Last updated in NPPESAug 11, 2021
Details
- NPI
- 1104591106
- Entity type
- Organization (NPI-2)
- Legal business name
- Healthy Indiana Psychiatric Services
- Organization subpart
- No
- Enumeration date
- Aug 11, 2021
- Certification date
- Aug 11, 2021
- Last updated
- Aug 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
| 111N00000X | Chiropractor | – | – | |
| 163WP0809X | Registered Nurse, Psych/Mental Health, Adult | – | – |
Practice location
2976 N Scatterfield Rd Ste 111Anderson, IN 46012-1586
Phone 765-664-3878
Mailing address
2976 N Scatterfield Rd Ste 111Anderson, IN 46012-1586
Phone 765-664-3878
Authorized official
David Lushinsky
Owner
3173857620
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