Brown, Brandi Lea

Brown, Brandi Lea is an individual health care provider with primary practice located at 1901 W Western Ave Ste B , South Bend IN 46619-3570. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Brown, Brandi Lea can be contacted via phone (574) 234-9033.

Contact Information

Primary practice address
1901 W Western Ave Ste B South Bend IN 46619-3570
Phone: (574) 234-9033
Fax: (574) 847-7200
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care 363LP0222X AP132688 Texas
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 71010016A Indiana

Profile Details

NPI number 1194262279
LBN Legal business name Brown, Brandi Lea
Credentials CPNP-AC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2017
Last updated Feb 21st, 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 1194262279 NPPES
Indiana MEDICAID 300039607

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