Individual
BREANNA KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1530 N 7TH ST STE 101, TERRE HAUTE, IN 47807-1058
(812) 238-7878
(812) 238-7808
Mailing address
221 S 6TH ST, TERRE HAUTE, IN 47807-4214
(812) 242-3157
(812) 242-3861
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71008152A
IN
Other
Enumeration date
07/24/2018
Last updated
04/05/2022
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