Ahlgrim, Andrea E

Ahlgrim, Andrea E is an sole proprietor health care provider with primary practice located at 615 N Michigan St 1St Fl Hospitalist Ste , South Bend IN 46601-1033. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care. Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care is her primary health care specialty. Ahlgrim, Andrea E can be contacted via phone (574) 647-3050.

Contact Information

Primary practice address
615 N Michigan St 1St Fl Hospitalist Ste South Bend IN 46601-1033
Phone: (574) 647-3050
Fax: (574) 647-1094
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 71014739A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X 71014739A Indiana

Profile Details

NPI number 1740061068
LBN Legal business name Ahlgrim, Andrea E
Credentials DNP, NNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2023
Last updated Feb 16th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740061068 NPPES
Indiana MEDICAID 300085729

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