NPI 1285884817

Robin Renae Tudor, MMSPAC

Practitioner Physician Assistant Valparaiso, IN

Practice location

Address: 85 E US Highway 6 STE 310, Valparaiso, IN 46383
Phone: (219) 983-6380
Fax: (219) 983-6080
Mailing address: 2022 Kelle Dr, Chesterton, IN 46304-8708

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 10001201A (IN)

Other Physician Assistant providers in Indiana →

Registry record

NPI: 1285884817
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Sep 2008
Record last updated: 18 Sep 2020

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.