Patricia M Nietch in South Bend - Nurse Practitioner

Patricia M Nietch - NPI 1841216363

Patricia M Nietch is a Nurse Practitioner in South Bend, Indiana. Patricia M Nietch practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Patricia M Nietch is 1841216363. The last update date is 2007-07-09.

Patricia M Nietch's current location address is 801 E Lasalle Ave, South Bend, Indiana. You can contact this provider via phone number 5742395277. The mailing address for Patricia M Nietch is 801 E Lasalle Ave, South Bend, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Patricia M Nietch
Address 801 E Lasalle Ave, South Bend, Indiana
Phone Number 5742395277
Fax Number
Sole Proprietor N
Credentials NP

NPI Number Detail

NPI Number 1841216363
Provider Enumeration Date 2006-07-15
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 801 E Lasalle Ave
City South Bend
State Indiana (IN)
Post Code 466172814
Phone Number 5742395277
Fax Number

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No 71000636A
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200292400 IN --

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FAQs about Patricia M Nietch

What is the unique 10-digit identifier code assigned to Patricia M Nietch by the Centers for Medicare & Medicaid Services?

The Patricia M Nietch has been issued the NPI (National Provider Identifier) 1841216363 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Patricia M Nietch's facilities are situated?

The facilities of Patricia M Nietch are physically located at the following address: 801 E Lasalle Ave, South Bend, IN, 466172814.

What is Patricia M Nietch's specialized field of practice, and what is the corresponding taxonomy classification code?

The Patricia M Nietch's area of specialization is Nurse Practitioner, and the corresponding taxonomy code that categorizes this field of practice is 363L00000X.

On what date was the 1841216363 assigned to Patricia M Nietch?

The Patricia M Nietch was issued its 1841216363 on 2006-07-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Patricia M Nietch's details last updated?

The information pertaining to the Patricia M Nietch, including its address, specialty, and other details, was most recently updated on 2007-07-09.

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