person
Brianne Elizabeth Mahone
Family Nurse Practitioner in South Bend, Indiana
NPI 1841843000

Brianne Elizabeth Mahone is a Family Nurse Practitioner based in South Bend, IN and is specialized in Family. Brianne Elizabeth Mahone practices in South Bend, IN. The NPI Number for Brianne Elizabeth Mahone is 1841843000 and holds a License No. 71009237A (Indiana).

The current practice location address for Brianne Elizabeth Mahone is 610 N Michigan St Ste 400, South Bend, IN and can be reached out via phone at 574-647-8120 and via fax at 574-647-8111.

Location: 610 N Michigan St Ste 400, South Bend, IN, 46617-1924
person
Provider Profile Details
NPI Number
1841843000
Provider Name
Brianne Elizabeth Mahone
Credential
Provider Entity Type
Individual
Gender
Female
Address
610 N Michigan St Ste 400, South Bend, IN, 46617-1924
Phone Number
574-647-8120
Fax Number
574-647-8111
Provider Enumeration Date
07/17/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
236040323 01 IN MEDICARE PTAN
300030531 05 IN
257270020 01 IN MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
610 N Michigan St Ste 400
City
State
Zip
46601-1081
Phone Number
574-647-8120
Fax Number
574-647-8111
person
Provider Business Mailing Address Details
Address
610 N Michigan St Ste 400
City
State
Zip
46601-1081
Phone Number
574-647-8120
Fax Number
574-647-8111
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71009237A (Indiana)
Definition
Definition to come...
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