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Individual

BRITTANY C HAUSMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGACNP-BC

Contact information

Practice address
4321 FIR ST, EAST CHICAGO, IN 46312-3097
(219) 392-7400
Mailing address
8865 W 400 N, SUITE 125, MICHIGAN CITY, IN 46360-9222
(219) 878-9488

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
28211504A
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
71004761A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201210960
IN
Enumeration date
12/05/2013
Last updated
03/04/2022
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