MEDICARE: MRS. BRIANNA LYNN SAWLSVILLE MSN, RN, NPD-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	28161877A	IN
2	163WG0000X	General Practice Registered Nurse	28161877C	IN

General Provider Information

NPI Number	:	1053269480
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BRIANNA LYNN SAWLSVILLE MSN, RN, NPD-BC

Provider Business Mailing Address
First Line	:	2712 SAPPHIRE CT
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46818-8542
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2712 SAPPHIRE CT
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46818-8542
Country	:	US
Telephone Number	:	260-557-2009
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2026
Last Update Date	:	03/20/2026

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