IndividualActive
Austre Medina
NPI 1922938083 · Pediatric Nurse Practitioner · Portage, IN
Provider details
- NPI number
- 1922938083
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 71018122A (IN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
6050 Sterling Creek Rd
Portage, IN 46368-7752
Phone: (219) 508-9569
Approximate (ZIP-level) locationGet directions
Mailing address
6050 Sterling Creek Rd
Portage, IN 46368-7752
Registry dates
- Enumerated
- 2026-05-21
- Last updated
- 2026-05-21
- Certified
- 2026-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.