Individual
MS. BRANDY MONIQUE ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1915 LAKE AVE, PLYMOUTH, IN 46563-9366
(574) 948-4911
Mailing address
18359 CLAIRMONT DR, SOUTH BEND, IN 46637-4437
(574) 999-0216
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2023004809
IN
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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