Individual
BROOKE ELLEN MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-1772
Mailing address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-1772
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27082255A
IN
Other
Enumeration date
12/18/2025
Last updated
12/18/2025
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