Individual
BRANDI G NEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4209 GATEWAY BLVD, NEWBURGH, IN 47630-8900
(812) 426-9771
(812) 842-2901
Mailing address
PO BOX 1510, EVANSVILLE, IN 47706-1510
(812) 853-5671
(812) 853-5697
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71007010A
IN
363LP0200X
Pediatric Nurse Practitioner
71007010A
IN
Other
Enumeration date
03/21/2017
Last updated
03/19/2019
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