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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811263940 NPPES
Indiana Other P01189203 RR MEDICARE PTAN
Indiana MEDICAID 201060460 RR MEDICARE PTAN

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