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Individual

BROOKE C CALHOUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
8101 CLEARVISTA PKWY, SUITE 200, INDIANAPOLIS, IN 46256-4675
(317) 621-5390
(317) 621-7885
Mailing address
6626 E. 75TH STREET, SUITE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-4139
(317) 621-7885

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71002662A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200956010
IN
01
P01014108
RR MEDICARE PTAN
IN
Enumeration date
07/01/2008
Last updated
11/27/2023
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