Organization · Type 2 NPI

Mynd MGMT LLC

Psychiatric/Mental Health Nurse Practitioner · Lafayette, IN

NPI number 1396553517 Active

Practice location

5 Executive Dr Ste C2
Lafayette, IN 47905-4867

Fax (765) 274-0243

Mailing address

11048 E 675 N
Otterbein, IN 47970-8023

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNone listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1396553517

Mynd MGMT LLC's National Provider Identifier is 1396553517, issued on Dec 19, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Lafayette, IN. The record was last updated on Apr 15, 2025.