Individual
DEBRA A BRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1270 E STATE ROAD 205 STE 240, COLUMBIA CITY, IN 46725-8506
(260) 248-9230
(260) 248-9249
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71005240A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201265880
—
IN
Enumeration date
10/08/2014
Last updated
10/03/2022
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