Individual
BRITTANY PEDAVOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1915 LAKE AVE, PLYMOUTH, IN 46563-9366
(574) 948-4000
Mailing address
1915 LAKE AVE, PLYMOUTH, IN 46563-9366
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
28211583A
IN
Other
Enumeration date
06/02/2026
Last updated
06/02/2026
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