Individual
BREE MAVIS PELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1235 OHIO ST, TERRE HAUTE, IN 47807-3923
(812) 232-9596
(812) 232-7992
Mailing address
1235 OHIO ST, TERRE HAUTE, IN 47807-3923
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28153178A
IN
Other
Enumeration date
01/03/2012
Last updated
07/30/2013
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