Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PRIVIA MEDICAL GROUP INDIANA, LLC
Active OrganizationPRIVIA MEDICAL GROUP INDIANA, LLC is a Family Nurse Practitioner organization located in WAKARUSA, Indiana. NPI 1568147809 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · WAKARUSA, IN
Registration Details
- NPI Number
- 1568147809
- Provider Type
- Organization
- NPI Issued
- Jun 15, 2023 (3.1487422740482 yrs)
- Last Updated
- May 12, 2025
Practice Information
- Address
-
100 N. ELKHART STWAKARUSA, IN, 46573Browse IN providers · Browse ZIP 46573
- Phone
- 5742963200
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Organizations in WAKARUSA, IN
| Name | NPI |
|---|---|
| WAKARUSA WELLNESS CLINIC LLC | 1528786753 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.