Ruark, Brandie Denise

Ruark, Brandie Denise is an individual health care provider with primary practice located at 309 Medic Way , Greencastle IN 46135-2296. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ruark, Brandie Denise can be contacted via phone (765) 653-2626.

Contact Information

Primary practice address
309 Medic Way Greencastle IN 46135-2296
Phone: (765) 653-2626
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 28151165 Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71003661A Indiana

Profile Details

NPI number 1366721060
LBN Legal business name Ruark, Brandie Denise
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2011
Last updated Mar 31st, 2021 - 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 1366721060 NPPES
Indiana MEDICAID 201043200

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