Individual provider · Type 1 NPI

Marylou Cervantes

Family Nurse Practitioner · Portage, IN

NPI number 1124948229 Active

Practice location

6050 Sterling Creek Rd
Portage, IN 46368-7752

Call (219) 763-8112 Map

Mailing address

2665 Poplar St
Portage, IN 46368-2940

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	71018351A (IN)

Family Nurse Practitioner: Definition to come...

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Daniel Raleigh Dewar, DCChiropractor Portage, IN NPI 1063512937

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About NPI 1124948229

Marylou Cervantes's National Provider Identifier is 1124948229, issued on Jul 17, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Portage, IN. The record was last updated on Jul 17, 2026.