Individual
GENEVA C BRUMMETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
330 W DEERFIELD RD, UNION CITY, IN 47390-1039
(765) 964-6200
Mailing address
330 W DEERFIELD RD, UNION CITY, IN 47390-1039
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71002559A
IN
363LF0000X
Family Nurse Practitioner
Primary
71002559A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200895830
—
IN
Enumeration date
02/08/2008
Last updated
06/06/2022
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