Braswell, Melanie
Braswell, Melanie is an individual health care provider with primary practice located at 2600 Greenbush St , Lafayette IN 47904-2477. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, which is considered as her primary health care specialty. Braswell, Melanie can be contacted via phone (765) 448-8000.Contact Information
Primary practice address
2600 Greenbush St
Lafayette IN 47904-2477
Phone: (765) 448-8000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist | 364S00000X | 28077086A | Indiana |
Profile Details
NPI number | 1689004962 |
---|---|
LBN Legal business name | Braswell, Melanie |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 22nd, 2013 |
Last updated | Feb 1st, 2021 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1689004962 | NPPES |
Indiana | Other | 000000850597 | ANTHEM PROVIDER NUMBER |
Indiana | MEDICAID | 201202390 | ANTHEM PROVIDER NUMBER |
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