Individual
HEATHER D BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
119 S WASHINGTON ST, MARION, IN 46952-3805
(765) 660-7440
(765) 662-4712
Mailing address
330 N WABASH, STE G20, MARION, IN 46952-2600
(765) 660-7600
(765) 651-7313
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71001943A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000781881
ANTHEM
IN
05
—
201026640
—
IN
Enumeration date
02/01/2007
Last updated
12/13/2013
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