Organization · Type 2 NPI
Maple Leaf Pain Relief
Family Nurse Practitioner · South Bend, IN
NPI number
1114469277
Active
Practice location
908 E Ireland Rd
South Bend, IN 46614-2664
Mailing address
6628 Greenridge Dr
Indianapolis, IN 46278-1184
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
Other family nurse practitioner providers in South Bend
About NPI 1114469277
Maple Leaf Pain Relief's National Provider Identifier is 1114469277, issued on Nov 7, 2016. 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 Nov 7, 2016.