person
Phyllis Elaine Bragg, NP
Family Nurse Practitioner in Fort Wayne, Indiana
NPI 1861724833

Phyllis Elaine Bragg is a Family Nurse Practitioner based in Fort Wayne, IN and is specialized in Family. Phyllis Elaine Bragg practices in Fort Wayne, IN and has the professional credentials of NP. The NPI Number for Phyllis Elaine Bragg is 1861724833 and holds a License No. 71003158B (Indiana).

The current practice location address for Phyllis Elaine Bragg is 5546 Thornbriar Ln, Fort Wayne, IN and can be reached out via phone at 260-750-2074.

Location: 5546 Thornbriar Ln, Fort Wayne, IN, 46805-4738
person
Provider Profile Details
NPI Number
1861724833
Provider Name
Phyllis Elaine Bragg
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
5546 Thornbriar Ln, Fort Wayne, IN, 46805-4738
Phone Number
260-750-2074
Fax Number
Provider Enumeration Date
02/02/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5546 Thornbriar Ln
City
State
Zip
46835-3890
Phone Number
260-750-2074
Fax Number
person
Provider Business Mailing Address Details
Address
5546 Thornbriar Ln
City
State
Zip
46835-3890
Phone Number
260-750-2074
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71003158B (Indiana)
Definition
Definition to come...
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