NPI 1043671860

Erica K Northern

Practitioner Nurse's Aide South Bend, IN

Practice location

Address: 1621 Wilber St, South Bend, IN 46628-3057
Phone: (574) 703-4276

Registered specialties

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X

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Registry record

NPI: 1043671860
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Mar 2016
Record last updated: 8 Mar 2016

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.