Individual
MS. MICHELLE BREUNIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CNS, FNP-C
Contact information
Practice address
426 S LAKE ST, GARY, IN 46403-2405
(219) 939-6070
(219) 939-6090
Mailing address
426 S LAKE ST, GARY, IN 46403-2405
(219) 939-6070
(219) 939-6090
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
70000194B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041-332034
REGISTERED PRO. NURSE
IL
Enumeration date
03/07/2007
Last updated
02/16/2024
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