Individual provider · Type 1 NPI

Laura Myers Hieronymus, C.A.N.P.

Adult Health Nurse Practitioner · South Bend, IN

NPI number 1922290790 Active

Practice location

1700 Mishawaka Ave, Student Activity Center Rm 130
South Bend, IN 46634-7111

Call (574) 250-5557 Map

Fax (574) 520-5042

Mailing address

1700 Mishawaka Ave, Student Activity Center Rm 130, P.o. Box 7111
South Bend, IN 46615-1408

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XNP02577 (OH)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1922290790

Laura Myers Hieronymus, C.A.N.P.'s National Provider Identifier is 1922290790, issued on Aug 15, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in South Bend, IN. The record was last updated on Aug 15, 2007.