Provider Demographics
NPI:1013034099
Name:PLOUVIEZ, DENISE CHRISTINE (RN)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:CHRISTINE
Last Name:PLOUVIEZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 S SOMMERSET TRL
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA CITY
Mailing Address - State:IN
Mailing Address - Zip Code:46725-7551
Mailing Address - Country:US
Mailing Address - Phone:260-244-6616
Mailing Address - Fax:
Practice Address - Street 1:915 S SOMMERSET TRL
Practice Address - Street 2:
Practice Address - City:COLUMBIA CITY
Practice Address - State:IN
Practice Address - Zip Code:46725-7551
Practice Address - Country:US
Practice Address - Phone:260-244-6616
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28147082A163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse