Individual
CLAUDIA JEANNE BROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1520 N SENATE AVE, INDIANAPOLIS, IN 46202-2213
(317) 962-6656
Mailing address
1520 N SENATE AVE, INDIANAPOLIS, IN 46202-2213
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
28096013
IN
Other
Enumeration date
07/19/2011
Last updated
07/19/2011
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