Individual provider · NPI-1

Lois Marie Brandon, FNP

Nurse Practitioner, Family · Mishawaka, IN

NPI number1629148747
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1629148747
Entity type
Individual (NPI-1)
Name
Mrs. Lois Marie Brandon
Credential
FNP
Sex
Female
Sole proprietor
No
Enumeration date
Nov 8, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family71001004AINYes

Practice location

316 Indian Ridge Blvd
Mishawaka, IN 46545-9034

Phone 800-635-5516

Mailing address

328 N Michigan St
Suite 200
South Bend, IN 46601-1244

Phone 574-647-1069 · Fax 574-647-1825

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