Brandon, Therese B

Brandon, Therese B is an individual health care provider with primary practice located at 5330 E Stop 11 Rd , Indianapolis IN 46237-6345. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Brandon, Therese B can be contacted via phone (317) 893-1900.

Contact Information

Primary practice address
5330 E Stop 11 Rd Indianapolis IN 46237-6345
Phone: (317) 893-1900
Fax: (317) 893-1901
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71000868A Indiana

Profile Details

NPI number 1134190523
LBN Legal business name Brandon, Therese B
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated Mar 22nd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134190523 NPPES
Indiana MEDICAID 200938950

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