Organization · Type 2 NPI
Rooted Functional & Family Medicine LLC
Family Nurse Practitioner · Westfield, IN
NPI number
1104759034
Active
Practice location
508 E State Road 32
Westfield, IN 46074-8767
Mailing address
19170 Donelson Ct
Westfield, IN 46062-0018
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
About NPI 1104759034
Rooted Functional & Family Medicine LLC's National Provider Identifier is 1104759034, issued on Jun 8, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Westfield, IN. The record was last updated on Aug 28, 2026.