Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN1001X | Nutrition | 08000584A | IN |
NPI | 1043250509 |
---|---|
Provider Name | Dr. Nancy Yvonne Denlinger |
First Address | Nappanee, IN 46550-1937 |
Second Address | Nappanee, IN 46550-1937 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2006 |
Last Update Date | 02/11/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100113020A | (05) | IN |
35-1796528 | (02) | IN |