Individual
AMY LEBRUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN,BC
Contact information
Practice address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 741-1411
(765) 741-1424
Mailing address
3620 N EVERBROOK LN, SUITE F, MUNCIE, IN 47304-5200
(765) 741-1411
(765) 741-1424
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71001079A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000501656
BLUE CROSS BLUE SHIELD
IN
Enumeration date
12/26/2006
Last updated
07/08/2007
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