Individual
MS. KRISTEN E BREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
420 W 4TH ST, MISHAWAKA, IN 46544-1948
(574) 307-7673
Mailing address
2010 HOLLYWOOD PL, SOUTH BEND, IN 46616-2113
(574) 855-0033
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71002279A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28170707A
RN LICENSE NUMBER
IN
01
—
71002279A
LICENSE NUMBER
IN
Enumeration date
11/07/2006
Last updated
06/11/2013
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