Individual
MRS. KATIE E BRICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
555 E COUNTY LINE RD STE 106, GREENWOOD, IN 46143-1063
(317) 621-2100
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71012210A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300059367
—
IN
01
—
Q00416532
RAILROAD MEDICARE
IN
Enumeration date
02/04/2022
Last updated
11/26/2024
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