Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | 2017016452 | IN |
NPI | 1023521895 |
---|---|
Provider Name | Mrs. Nina Elaine Orr |
First Address | Marion, IN 46953-4568 |
Second Address | Marion, IN 46953-4568 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2017 |
Last Update Date | 07/07/2020 |