Lavonne Eddy is a Nurse Practitioner in Peru, Indiana. Lavonne Eddy practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Lavonne Eddy is 1730266602. The last update date is 2014-10-15.
Lavonne Eddy's current location address is 315 W Old Key Dr, Peru, Indiana. You can contact this provider via phone number 7654756963 and fax number 7654752833. The mailing address for Lavonne Eddy is 315 W Old Key Dr, Peru, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lavonne Eddy |
|---|---|
| Address | 315 W Old Key Dr, Peru, Indiana |
| Phone Number | 7654756963 |
| Fax Number | 7654752833 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1730266602 |
|---|---|
| Provider Enumeration Date | 2006-10-31 |
| Last Updated Date | 2014-10-15 |
Provider Mailing Address Detail
| Address | 315 W Old Key Dr |
|---|---|
| City | Peru |
| State | Indiana (IN) |
| Post Code | 469709057 |
| Phone Number | 7654756963 |
| Fax Number | 7654752833 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 71000301 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200375930 | IN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Lavonne Eddy by the Centers for Medicare & Medicaid Services (CMS)?
The Lavonne Eddy has been assigned the NPI (National Provider Identifier) 1730266602. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Lavonne Eddy is physically located?
The Lavonne Eddy is physically situated at the following address: 315 W Old Key Dr, Peru, IN, 469709057.
What is Lavonne Eddy's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Lavonne Eddy is Nurse Practitioner, and the corresponding taxonomy classification code for this specialized field is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1730266602 to Lavonne Eddy?
The Lavonne Eddy received its 1730266602 assignment from the Centers for Medicare & Medicaid Services on 2006-10-31.
When was the information regarding Lavonne Eddy most recently updated?
The details pertaining to the Lavonne Eddy, including its address, specialty, and other relevant information, were last refreshed on 2014-10-15.
NPI Number: 1841293149
Address: Po Box 40908, Fayetteville, NC