Individual
BROOKE COLLEEN BARADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
350 S LANDMARK AVE, BLOOMINGTON, IN 47403-5001
(812) 335-2434
(812) 335-7604
Mailing address
PO BOX 1329, BLOOMINGTON, IN 47402-1329
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
71002550A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200977520
—
IN
Enumeration date
12/11/2009
Last updated
08/20/2024
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