Vall Professionals Health Center
Nurse Practitioner in Clinton, IN. Organization (NPI-2).
NPI number1821402280
StatusActive
Last updated in NPPESJun 13, 2014
Details
- NPI
- 1821402280
- Entity type
- Organization (NPI-2)
- Legal business name
- Vall Professionals Health Center
- Organization subpart
- No
- Enumeration date
- Jun 13, 2014
- Last updated
- Jun 13, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | – | – | Yes |
Practice location
777 S Main StClinton, IN 47842-2493
Phone 765-828-1003
Mailing address
777 S Main StClinton, IN 47842-2493
Phone 765-828-1003
Authorized official
T.J. Warren
Ceo
7658281003
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