Individual
MONICA S BROO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 944-5000
Mailing address
PO BOX 1026, INDIANAPOLIS, IN 46206-1026
(317) 777-6435
(317) 777-6644
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71006011A
IN
363LP0222X
Critical Care Pediatric Nurse Practitioner
71006011A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201343530
—
IN
Enumeration date
04/09/2015
Last updated
01/29/2021
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