Whalio Doctors

NPI 1013288448

Kelly Mae Losiniecki, NP

Practitioner Family Nurse Practitioner South Bend, IN

Practice location

Address
211 N Eddy St., South Bend, IN 46617-3096
Phone
(574) 237-9231
Fax
(574) 204-6355
Mailing address
211 N Eddy St, South Bend, IN 46617-2808

Registered specialties (2)

Family Nurse Practitioner Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 28176558A (IN)
Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence 71003885A (IN)

Registry record

NPI
1013288448
Entity type
Individual
Sex (as registered)
Female
NPI issued
17 Jan 2012
Record last updated
7 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.