Individual
MRS. BREANNE MARIE MAUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
600 AVIATOR CT, VANDALIA, OH 45377-9473
(937) 208-7776
Mailing address
4379 E BRIGGS RD, BELLBROOK, OH 45305-1575
(419) 957-9349
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0028568
OH
Other
Enumeration date
05/05/2022
Last updated
05/05/2022
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