Individual provider · Type 1 NPI

Michael Poulsen, R.N.

Family Nurse Practitioner · Mishawaka, IN

NPI number 1477094332 Active

Practice location

5215 Holy Cross Pkwy
Mishawaka, IN 46545-1469

Mailing address

707 Cedar St Ste 405
South Bend, IN 46617-2059

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X71007577A (IN)

Family Nurse Practitioner: Definition to come...

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About NPI 1477094332

Michael Poulsen, R.N.'s National Provider Identifier is 1477094332, issued on Mar 13, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mishawaka, IN. The record was last updated on Mar 27, 2024.