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PERSA DARNELL

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1750700423

Individual Registrant:
 PERSA  DARNELL 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
3747 45TH AVE.  HIGHLAND, IN 46322 US
Tel: 219-838-3270  Fax: --

Contact information for business:
3747 45TH AVE.  HIGHLAND, IN 46322 US
Tel: 219-838-3270  Fax: --

Registration Information:
NPI: 1750700423
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
IN2013018531

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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