Individual provider · Type 1 NPI

Kelly Mae Losiniecki, NP

Family Nurse Practitioner · South Bend, IN

NPI number 1013288448 Active

Practice location

211 N Eddy St.
South Bend, IN 46617-3096

Fax (574) 204-6355

Mailing address

211 N Eddy St
South Bend, IN 46617-2808

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X71003885A (IN)
Family Nurse Practitioner Primary 363LF0000X28176558A (IN)

Family Nurse Practitioner: Definition to come...

6 other providers at this address

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About NPI 1013288448

Kelly Mae Losiniecki, NP's National Provider Identifier is 1013288448, issued on Jan 17, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in South Bend, IN. The record was last updated on Mar 7, 2018.