Individual
BRENDA BONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 E PICKWICK DR, SYRACUSE, IN 46567-2032
(574) 457-4401
Mailing address
500 E PICKWICK DR, SYRACUSE, IN 46567-2032
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
28197066A
IN
Other
Enumeration date
12/29/2022
Last updated
12/29/2022
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