Individual
ARIEL PATRICIA BRAZZALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP- BC
Contact information
Practice address
9430 WICKER AVE, SAINT JOHN, IN 46373-9400
(219) 669-1034
(877) 822-9116
Mailing address
4936 PHEASANT CT, SCHERERVILLE, IN 46375-3384
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
142462
IN
363L00000X
Nurse Practitioner
Primary
71013263A
IN
Other
Enumeration date
06/15/2017
Last updated
11/18/2022
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