Individual
BRANDIN LEIGH BRINKERHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
575 RILEY HOSPITAL DR RM 4300, INDIANAPOLIS, IN 46202-5272
(317) 944-7010
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28191027A
IN
363L00000X
Nurse Practitioner
71005499A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
71005499A
IN
363LW0102X
Women's Health Nurse Practitioner
Primary
71005499A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000953662
ANTHEM PTAN
IN
01
—
000001526323
ANTHEM PTAN
IN
05
—
201296180
—
IN
Enumeration date
04/23/2015
Last updated
02/10/2025
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