NPI 1659903599

Ann M Samra-Theurer, BSDHOMT

Practitioner Specialist New Haven, IN

Practice location

Address: 3988 Cobblestone Cv, New Haven, IN 46774-2078
Phone: (260) 403-2827

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 13002201A (IN)

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Registry record

NPI: 1659903599
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Feb 2020
Record last updated: 9 Feb 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.