Organization · Type 2 NPI
Beacon Medical Group, Inc.
Nurse Practitioner · South Bend, IN
Practice location
926 Erskine Plz
South Bend, IN 46614-3244
Fax (574) 647-6514
Mailing address
710 N Niles Ave
South Bend, IN 46617-1924
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 71000651A (IN) |
Nurse Practitioner: (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 certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
2 other providers at this address
Other nurse practitioner providers in South Bend
About NPI 1083665673
Beacon Medical Group, Inc.'s National Provider Identifier is 1083665673, issued on May 16, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in South Bend, IN. The record was last updated on Aug 29, 2016.