ELITE HEALTHCARE OF MUNCIE INC. NPI 1700217189

NPI Information

NPI: 1700217189
Provider Name: ELITE HEALTHCARE OF MUNCIE INC.
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
3417 W BETHEL AVE STE A
MUNCIE, IN
ZIP 47304
Phone: (765) 281-8883
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ELITE HEALTHCARE OF MUNCIE INC. is a family nurse practitioner in Muncie, IN. ELITE HEALTHCARE OF MUNCIE INC. NPI is 1700217189. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3417 W BETHEL AVE STE A
MUNCIE, IN
ZIP 47304-504
Phone: (765) 281-8883
Fax: (765) 281-8884

The provider's authorized official is David Segraves .
The authorized official title is Owner and has the following contact phone number (765) 281-8883.

The enumeration date for this NPI number is 12/10/2013 and was last updated on 2/25/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		01027232A	INDIANA	No
2	363LF0000X	Nurse Practitioner	Family	71003894B	INDIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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