Individual
BRIANNA RAE POOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A-GNP
Contact information
Practice address
442 W HIGH ST, BRYAN, OH 43506-1681
(419) 636-4517
(419) 636-6438
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71010317A
IN
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0026873
OH
Other
Enumeration date
08/29/2020
Last updated
12/02/2024
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