Individual
MRS. BRANDIE DENISE RUARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
309 MEDIC WAY, GREENCASTLE, IN 46135-2296
(765) 653-2626
Mailing address
1542 S BLOOMINGTON ST, GREENCASTLE, IN 46135-2212
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
28151165
IN
363LF0000X
Family Nurse Practitioner
Primary
71003661A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201043200
—
IN
Enumeration date
08/11/2011
Last updated
05/21/2025
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