Nurse Practitioner, Pediatrics
TAYLOR GREEN
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1770366825 · enumerated 2023-08-14 · record updated 2023-08-14. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 14130 HERITAGE WAY, CEDAR LAKE, IN, 46303-7297 (219) 798-1680 Google Maps Apple Maps OpenStreetMap
- Practice location 1509 STATE STREET, LA PORTE, IN, 46350 (219) 324-3431 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Pediatrics 363LP0200X · Primary · License 71014069A IN
In this directory
Locations and evidence
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Practice location
LA PORTE, IN, 46350
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.