Estella Mcfadden-martin LPN

NPI 1073628517 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1073628517
Gender Female
Enumeration Date 08/21/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
403 E MADISON ST
SOUTH BEND IN, 46617-2322, US
Phone (574) 234-0061
Fax (574) 283-1209
Business Location
3501 HURON ST
SOUTH BEND IN, 46619-2816, US
Phone (574) 234-3291
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Indiana
License Number 27007109
Remove 1073628517 NPI Number
 

According to our database, Estella Mcfadden-martin LPN NPI is 1073628517, taxonomy code is 164W00000X and license number is 27007109, license state is located at Indiana. Estella Mcfadden-martin LPN physically located at 403 E Madison St, South Bend IN, 46617-2322. NPI Number Estella Mcfadden-martin LPN has the Individual type.

Sponsored links

1073628517 NPI number is provided on an as is basis without warranty of any kind. 1073628517 is maintained by the National Plan & Provider Enumeration System. The contents of Estella Mcfadden-martin LPN are for informational purposes only.