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General NPI Number Information
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NPI Number | 1295071629
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Entity Type | Individual
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Provider Name | LOUIS J. PACE C.N.S.
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Gender | Male
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Dates
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Enumeration Date | 12/12/2012
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Last Update Date | 03/27/2024
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Provider Practice Location Address
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Address Line | 5215 HOLY CROSS PKWY
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City | MISHAWAKA
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State | IN
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Zip | 46545-1469
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Country | US
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Telephone | 574-335-2315
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Fax |
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Provider Business Mailing Address
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Address Line | 707 E CEDAR ST STE 405
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City | SOUTH BEND
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State | IN
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Zip | 46617-2059
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Country | US
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Telephone | 574-335-8707
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Fax | 574-335-0760
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364S00000X
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Taxonomy Name | Clinical Nurse Specialist
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License Number | 71002876A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 364SM0705X
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Taxonomy Name | Medical-Surgical Clinical Nurse Specialist
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License Number | 71002876A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 364SA2100X
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Taxonomy Name | Acute Care Clinical Nurse Specialist
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License Number | 71002876A
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License Number State | IN
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