Individual
CONNIE A BRONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1141 16TH ST, BEDFORD, IN 47421-3721
(574) 536-8874
Mailing address
13090 PETIGRU DR, CARMEL, IN 46032-4436
(317) 733-8608
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71007448A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
71007448A
IN
Other
Enumeration date
07/25/2017
Last updated
09/13/2022
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