Individual provider · Type 1 NPI
Asa Marie Niedbalski, AGNP
Gerontology Nurse Practitioner · Pendleton, IN
NPI number
1376115535
Active
Practice location
1597 Cold Springs Dr
Pendleton, IN 46064-5506
Fax (317) 219-0879
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 71011321A (IN) |
Gerontology Nurse Practitioner: Definition to come...
About NPI 1376115535
Asa Marie Niedbalski, AGNP's National Provider Identifier is 1376115535, issued on Jul 15, 2021. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Pendleton, IN. The record was last updated on May 16, 2024.