Individual
MINDY BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1240 E 4TH STREET RD STE C, SEYMOUR, IN 47274-1996
(812) 522-5730
Mailing address
11634 E COUNTY ROAD 900 N, SEYMOUR, IN 47274-9750
(812) 525-9154
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28151225A
IN
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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