OrganizationActive
Diabetes Association of St Joseph County Inc
NPI 1235320540 · Diabetes Educator Registered Nurse · Granger, IN
Provider details
- NPI number
- 1235320540
- Entity type
- Organization
- Primary specialty
- Diabetes Educator Registered NurseNursing Service Providers
- Organization subpart
- No
- Authorized official
- Bonita Raine, Executive Director(574) 247-6047
- License
- 28071850A (IN)
Specialties & taxonomies
Nursing Service Providers
Practice location
6910 North Main St
Building 9
Granger, IN 46530
Phone: (574) 247-6047
Fax: (574) 247-6060
Approximate (ZIP-level) locationGet directions
Mailing address
6910 North Main Street
Granger, IN 46530
Registry dates
- Enumerated
- 2007-08-05
- Last updated
- 2007-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.