Wash, Brandi L
Wash, Brandi L is an individual health care provider with primary practice located at 9894 E 121St St , Fishers IN 46037. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wash, Brandi L can be contacted via phone (317) 621-6060.Contact Information
Primary practice address
9894 E 121St St
Fishers IN 46037
Phone: (317) 621-6060
Fax: (317) 355-6965
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71003902A | Indiana |
Profile Details
| NPI number | 1811263940 |
|---|---|
| LBN Legal business name | Wash, Brandi L |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2012 |
| Last updated | Jun 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811263940 | NPPES |
| Indiana | Other | P01189203 | RR MEDICARE PTAN |
| Indiana | MEDICAID | 201060460 | RR MEDICARE PTAN |
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