Individual
MS. RAVEN BETH BRUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2800 KISSEL RD, EVANSVILLE, IN 47720-7150
(812) 483-8734
(812) 963-1191
Mailing address
2800 KISSEL RD, EVANSVILLE, IN 47720-7150
(812) 483-8734
(812) 963-1191
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28071997A
IN
Other
Enumeration date
08/25/2008
Last updated
08/25/2008
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