Individual
BRANDON JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2015 JACKSON ST, ANDERSON, IN 46016-4337
(765) 649-2511
Mailing address
10330 N MERIDIAN ST # 300, INDIANAPOLIS, IN 46290-1024
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28200559A
IN
Other
Enumeration date
09/06/2016
Last updated
03/21/2018
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