Individual provider · Type 1 NPI
Ebthal Alasal, NP
Family Nurse Practitioner · Kendallville, IN
NPI number
1497429781
Active
Practice location
2007 Cortland Ln
Kendallville, IN 46755-2875
Mailing address
401 N Sawyer Rd
Kendallville, IN 46755-2568
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 28233679A (IN) |
Family Nurse Practitioner: Definition to come...
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About NPI 1497429781
Ebthal Alasal, NP's National Provider Identifier is 1497429781, issued on Aug 2, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Kendallville, IN. The record was last updated on Aug 2, 2021.