Dana G. Brackett in South Bend - Family

Dana G. Brackett - NPI 1164499067

Dana G. Brackett is a Family in South Bend, Indiana. Dana G. Brackett practices all healthcare services and medical treatments related to Family. The NPI Number for Dana G. Brackett is 1164499067. The last update date is 2023-11-08.

Dana G. Brackett's current location address is 53880 Carmichael Dr, South Bend, Indiana. You can contact this provider via phone number 5742479441. The mailing address for Dana G. Brackett is 53880 Carmichael Dr, South Bend, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Dana G. Brackett
Address 53880 Carmichael Dr, South Bend, Indiana
Phone Number 5742479441
Fax Number
Sole Proprietor N
Credentials N.P.

NPI Number Detail

NPI Number 1164499067
Provider Enumeration Date 2006-03-01
Last Updated Date 2023-11-08

Provider Mailing Address Detail

Address 53880 Carmichael Dr
City South Bend
State Indiana (IN)
Post Code 466351567
Phone Number 5742479441
Fax Number

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No 71002064A
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200808410 IN --

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FAQs about Dana G. Brackett

What is the unique provider identifier assigned to Dana G. Brackett?

The Dana G. Brackett has been issued the NPI (National Provider Identifier) 1164499067 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Dana G. Brackett is physically located?

The Dana G. Brackett is situated at the following address: 53880 Carmichael Dr, South Bend, IN 466351567.

What is Dana G. Brackett's area of expertise and its corresponding taxonomy classification?

The Dana G. Brackett's field of specialization is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their areas of practice.

When was the Dana G. Brackett's 1164499067 issued?

The Dana G. Brackett's 1164499067 was issued on 2006-03-01.

When was the Dana G. Brackett's information last updated?

The Dana G. Brackett's information was last updated on 2023-11-08.

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