Individual
MR. BRADLEY THOMAS EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
1923 W GLEN PARK AVE, GRIFFITH, IN 46319-3703
(219) 922-2535
Mailing address
1923 W GLEN PARK AVE, GRIFFITH, IN 46319-3703
(219) 922-2535
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71016121A
IN
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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