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DIANA ROSE POORTENGA

NURSE PRACTITIONER · HAMMOND, IN

Provider

NPI
1780207332
Credential
Primary specialty
NURSE PRACTITIONER
Gender
Female
Medical school
OTHER
Graduation year
2019

Practice

Address
1009 5TH AVE, HAMMOND, IN 463201004
Phone
2194730722
Accepts Medicare
Yes (individual)
Telehealth
No

Source

Authoritative
NPI Registry
Machine
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