Individual
BREANNA KARTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1919 LAKE AVE STE 106, PLYMOUTH, IN 46563-7830
(574) 335-5220
(574) 335-0859
Mailing address
5215 HOLY CROSS PKWY, MISHAWAKA, IN 46545-1469
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28248244A
IN
363LF0000X
Family Nurse Practitioner
Primary
71011303A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102556497
ANTHEM
IN
05
—
300052442
—
IN
Enumeration date
04/15/2021
Last updated
10/07/2024
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