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Individual

ASHLEY MARIE BRUNT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NURSE PRA

Contact information

Practice address
500 ARCADE AVE STE 400, ELKHART, IN 46514-2487
(574) 522-2284
(574) 522-3952
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(574) 647-6592
(574) 647-1821

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71017032A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300122002
IN
Enumeration date
07/23/2025
Last updated
11/10/2025
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