BRIANNA MAE HOUSEHOLDER

FORT WAYNE, IN
NPI1265206338
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IN  71014610A)
Enumeration Date2023-11-09
Last Update Date2024-05-30
Business Address
BRIANNA MAE HOUSEHOLDER FNP-C
11104 PARKVIEW CIRCLE DR STE 310
FORT WAYNE, IN 46845-1733
Phone number: 260-266-5230
Mailing Address
BRIANNA MAE HOUSEHOLDER FNP-C
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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