Individual
LACEY BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
831 TIMBER CREST RD, NASHVILLE, IN 47448-8310
(812) 343-7396
Mailing address
831 TIMBER CREST RD, NASHVILLE, IN 47448-8310
(812) 343-7396
Taxonomy
Speciality
Code
Description
License number
State
163WC1600X
Continuing Education/Staff Development Registered Nurse
Primary
28217762A
IN
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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