Brady, Heather D

Brady, Heather D is an individual health care provider with primary practice located at 119 S Washington St , Marion IN 46952-3805. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Brady, Heather D can be contacted via phone (765) 660-7440.

Contact Information

Primary practice address
119 S Washington St Marion IN 46952-3805
Fax: (765) 662-4712
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71001943A Indiana

Profile Details

NPI number 1033257217
LBN Legal business name Brady, Heather D
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2007
Last updated Dec 13th, 2013 - about 11 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 1033257217 NPPES
Indiana MEDICAID 201026640
Indiana Other 000000781881

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