Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 71010617A | IN |
NPI | 1073111597 |
---|---|
Provider Name | Allyson Diane Hunsinger |
First Address | Washington, IN 47501-4164 |
Second Address | Bedford, IN 47421-3003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2020 |
Last Update Date | 24/11/2020 |