Individual
MISS BRENDA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 W 10TH ST, HOBART, IN 46342-5990
(219) 670-3148
(219) 844-3578
Mailing address
111 W 10TH ST, HOBART, IN 46342-5990
(219) 670-3148
(219) 844-3578
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28171562A
IN
Other
Enumeration date
06/26/2009
Last updated
06/26/2009
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