Individual
BRANDY L MANETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5410 N PENNSYLVANIA ST, INDIANAPOLIS, IN 46220-3022
(317) 445-8381
Mailing address
5410 N PENNSYLVANIA ST, INDIANAPOLIS, IN 46220-3022
(317) 445-8381
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
28165121A
IN
363L00000X
Nurse Practitioner
Primary
71003031
IN
Other
Enumeration date
07/09/2009
Last updated
07/23/2020
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