Individual
MRS. BRANDI LEA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-AC
Contact information
Practice address
1901 W WESTERN AVE STE B, SOUTH BEND, IN 46619-3570
(574) 234-9033
(574) 847-7200
Mailing address
8003 CASTLEWAY DR, INDIANAPOLIS, IN 46250-1946
(317) 576-1335
(317) 343-6562
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
71010016A
IN
363LP0222X
Critical Care Pediatric Nurse Practitioner
AP132688
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300039607
—
IN
Enumeration date
01/26/2017
Last updated
02/21/2023
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