Individual provider · NPI-1

Kristen E Bree, NP

Nurse Practitioner, Family · Mishawaka, IN

NPI number1164591830
StatusActive
Last updated in NPPESJun 11, 2013

Details

NPI
1164591830
Entity type
Individual (NPI-1)
Name
Ms. Kristen E Bree
Credential
NP
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 7, 2006
Last updated
Jun 11, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family71002279AINYes

Practice location

420 W 4th St
Mishawaka, IN 46544-1948

Phone 574-307-7673

Mailing address

2010 Hollywood Pl
South Bend, IN 46616-2113

Phone 574-855-0033

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