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Individual
TINA S BRICKERT
Active
Individual
TINA S BRICKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
72000016A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104827633
GROUP NPI NUMBER
IN
05
—
200131150
—
IN
05
—
200377200
—
IN
Enumeration date
08/12/2005
Last updated
10/21/2025
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