IndividualActive
Brittany Pedavoli
NPI 1508798752 · Emergency Registered Nurse · Plymouth, IN
Provider details
- NPI number
- 1508798752
- Entity type
- Individual
- Primary specialty
- Emergency Registered NurseNursing Service Providers
- Sole proprietor
- No
- License
- 28211583A (IN)
Mailing address
1915 Lake Ave
Plymouth, IN 46563-9366
Registry dates
- Enumerated
- 2026-06-02
- Last updated
- 2026-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.