Individual
BRADLEY MICHAEL RUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, FNP-BC
Contact information
Practice address
2154 INTELLIPLEX DR, SHELBYVILLE, IN 46176-8547
(317) 392-3211
Mailing address
30 W RAMPART ST, STE 200, SHELBYVILLE, IN 46176-8846
(317) 421-2012
(317) 398-1851
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71010061A
IN
363LF0000X
Family Nurse Practitioner
28220354A
IN
Other
Enumeration date
04/22/2020
Last updated
07/16/2020
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