Individual
MRS. BRENDA KAYE DEARMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1521 W MAIN ST, BERNE, IN 46711-1796
(260) 724-2145
(260) 589-3941
Mailing address
6119 W JEFFERSON BLVD, FORT WAYNE, IN 46804-3072
(260) 432-1568
(260) 432-4969
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28136923A
IN
363L00000X
Nurse Practitioner
F1005131
IN
363LF0000X
Family Nurse Practitioner
Primary
71002117A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200945640
—
IN
01
—
P00396106
MEDICARE RAILROAD
IN
Enumeration date
01/27/2006
Last updated
10/15/2025
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