Individual
LEAH A BROSHEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1801 N SENATE BLVD, SUITE 635, INDIANAPOLIS, IN 46202-1228
(317) 962-1400
(317) 962-2595
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71006261A
IN
363LG0600X
Gerontology Nurse Practitioner
71006261A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001151925
ANTHEM PTAN
IN
01
—
000001443719
ANTHEM PTAN
IN
05
—
201392950
—
IN
Enumeration date
05/24/2016
Last updated
05/19/2025
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