NPI:
1659780708
Provider Name:
CARDINAL ELEMENTS INC
Doing Business As: MARY ANN WIETBROCK, CNS
Classification:
Clinical Nurse Specialist - 364SC1501X
Entity Type:
Organization
Specialization: Community Health/Public Health
CLIA Number: 15D2081979
Address:
4108 W 400 S
NEW PALESTINE, IN
ZIP 46163
Phone:
(317) 410-9140
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CARDINAL ELEMENTS INC is a community health/public health clinical nurse specialist in New Palestine, IN. CARDINAL ELEMENTS INC NPI is 1659780708. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Mary Ann Wietbrock, Cns.
The provider's business location address is:
4108 W 400 S
NEW PALESTINE, IN
ZIP 46163-612
Phone: (317) 410-9140
The provider's authorized official is Mary Ann Wietbrock .
The authorized official title is Clinical Nurse Specialist and has the following contact phone number (317) 410-9140.
The CLIA number assigned to this NPI record is 15D2081979 - other - clients home with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/2/2014 and was last updated on 8/26/2014.