Individual
BRENDA F HEINEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5255 E STOP 11 RD STE 300, INDIANAPOLIS, IN 46237-6341
(317) 528-4723
(317) 528-4699
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
71001935A
IN
363LF0000X
Family Nurse Practitioner
Primary
71001935A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000374450
ANTHEM PIN
IN
05
—
200522210
—
IN
01
—
P00234598
RAILROAD MEDICARE
IN
Enumeration date
08/02/2006
Last updated
07/17/2025
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