Individual
BROOKE NICOLE PARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
705 RILEY HOSPITAL DR, RM 5867, INDIANAPOLIS, IN 46202-5109
(317) 944-4034
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
01087619A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427583368
ANTHEM PTAN
IN
05
—
300064895
—
IN
01
—
Q00462783
RAILROAD PTAN
IN
Enumeration date
04/28/2017
Last updated
03/15/2025
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