Individual
MRS. BREANNA MARIE MATHENY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN FNP-C
Contact information
Practice address
1009 5TH AVE, HAMMOND, IN 46320-1004
(219) 473-0722
Mailing address
1009 5TH AVE, HAMMOND, IN 46320-1004
(219) 473-0722
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71016207A
IN
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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