Individual
BRYAN ARMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
1700 DIVIDEND DR, LOGANSPORT, IN 46947-1572
(574) 722-7407
Mailing address
825 W LINDEN AVE, LOGANSPORT, IN 46947-2947
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28168115A
IN
363LF0000X
Family Nurse Practitioner
71006483A
IN
363LF0000X
Family Nurse Practitioner
71006483B
IN
Other
Enumeration date
08/29/2016
Last updated
08/29/2016
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