Organization · Type 2 NPI
Riverside Family Clinic, Inc
Family Nurse Practitioner · Vincennes, IN
NPI number
1821469602
Active
Practice location
328 N 2nd St, Suite 102
Vincennes, IN 47591
Fax (812) 316-1117
Mailing address
PO Box 436, 328 N 2nd St, Suite 102
Vincennes, IN 47591
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 28140893A (IN) |
Family Nurse Practitioner: Definition to come...
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About NPI 1821469602
Riverside Family Clinic, Inc's National Provider Identifier is 1821469602, issued on Oct 19, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Vincennes, IN. The record was last updated on Nov 13, 2015.