NPI 1073405890 · live from the CMS NPI Registry
Brianne Noel Avery, DC
Chiropractor in Mishawaka, IN. National Provider Identifier 1073405890, active.
NPI record
| NPI | 1073405890 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 1317 Farm Crest Cir Apt 1b, Mishawaka, IN 46544 |
| Practice phone | 607-280-4402 |
| Enumerated | July 16, 2025 |
| Last updated | July 16, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | 08003414A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.