Individual provider · Type 1 NPI

Catherine Rose Lara, NURSE PRACTITIONER

Nurse Practitioner · Crown Point, IN

NPI number 1841649480 Active

Practice location

12750 St Francis Dr Ste 320
Crown Point, IN 46307-0264

Call (219) 662-0077 Map

Fax (219) 662-9496

Mailing address

PO Box 781076
Detroit, MI 48278-1076

Other practice locations

9401 S Pulaski Rd, Evergreen Park, IL 60805-1924 · (708) 425-6225
1205 S Main St Ste 101, Crown Point, IN 46307-3677 · (219) 662-0077

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner	363LF0000X	209014104 (IL)
Nurse Practitioner Primary	363L00000X	71009690A (IN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

19 other providers at this address

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About NPI 1841649480

Catherine Rose Lara, NURSE PRACTITIONER's National Provider Identifier is 1841649480, issued on Jun 4, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Crown Point, IN. The record was last updated on Jan 12, 2024.