Individual
MISS BRIANNE ELIZABETH ANCICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1260 INNOVATION PKWY, #100, GREENWOOD, IN 46143-3602
(317) 884-5200
(317) 884-5360
Mailing address
1260 INNOVATION PKWY, #100, GREENWOOD, IN 46143-3602
(317) 884-5200
(317) 884-5360
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000819A
IN
Other
Enumeration date
05/10/2006
Last updated
11/01/2023
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