Individual
MISS BRANDY ALICIA KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1 PARK ROW ST, MICHIGAN CITY, IN 46360-6597
(219) 874-7256
(219) 879-9839
Mailing address
8837 CAROLINA AVE, HIGHLAND, IN 46322-2115
(219) 742-4005
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71012078A
IN
Other
Enumeration date
01/07/2022
Last updated
01/07/2022
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