Individual
AMANDA JANE BRASHEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3577 W COCKRELL RD, BLOOMINGTON, IN 47403-8710
(812) 327-0171
Mailing address
3577 W COCKRELL RD, BLOOMINGTON, IN 47403-8710
(812) 327-0171
(317) 669-6896
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71017365A
IN
Other
Enumeration date
04/05/2025
Last updated
04/09/2026
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