Brian J Short NP

NPI 1073588844 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1073588844
Gender Male
Enumeration Date 02/23/2006
Last Updated 08/07/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
1050 REID PKWY
SUITE 210
RICHMOND IN, 47374-1155, US
Phone (765) 939-7711
Fax (765) 939-1841
Business Location
1100 REID PKWY
MEDICAL STAFF SERVICES
RICHMOND IN, 47374-1157, US
Phone (765) 939-7711
Fax (765) 939-1841
Toxanomy
Taxonomy Code 363L00000X
License State Indiana
License Number 71001054A
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According to our database, Brian J Short NP NPI is 1073588844, taxonomy code is 363L00000X and license number is 71001054A, license state is located at Indiana. Brian J Short NP physically located at 1050 Reid Pkwy, Richmond IN, 47374-1155. NPI Number Brian J Short NP has the Individual type.

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1073588844 NPI number is provided on an as is basis without warranty of any kind. 1073588844 is maintained by the National Plan & Provider Enumeration System. The contents of Brian J Short NP are for informational purposes only.