Individual provider · Type 1 NPI
Keith A. Egly
Family Nurse Practitioner · Churubusco, IN
NPI number
1790451730
Active
Practice location
8415 State Road 205
Churubusco, IN 46723-9234
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 110355 (WV) |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in Churubusco
About NPI 1790451730
Keith A. Egly's National Provider Identifier is 1790451730, issued on Aug 19, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Churubusco, IN. The record was last updated on Aug 19, 2021.