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NPI Code Detail

MEDICARE: CML HEALTHCARE CONSULTANTS LLC

MEDICARE: CML HEALTHCARE CONSULTANTS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner

General Provider Information

NPI Number : 1366844656
Entity Type Code : Organization
Provider Name (Legal Business Name) : CML HEALTHCARE CONSULTANTS LLC
Provider Business Mailing Address
First Line : 4410 STRATHDON DR
Second Line :
City : FORT WAYNE
State : IN
Zip : 46816-4182
Country : US
Telephone Number : 260-580-9479
Fax Number : 260-739-5427
Provider Business Practice Location Address
First Line : 4410 STRATHDON DR
Second Line :
City : FORT WAYNE
State : IN
Zip : 46816-4182
Country : US
Telephone Number : 260-580-9479
Fax Number : 260-739-5427
Authorized Official
Title or Position : OWNER
Name : SHAUNA H SIMPSON
Credential :
Telephone Number : 260-580-9479
Provider Enumeration Date : 09/18/2014
Last Update Date : 09/18/2014

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Directions to “CML HEALTHCARE CONSULTANTS LLC ” Practice Location

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