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Individual

ALLISON MARIE BROCKLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSN, APRN, FNP-C

Contact information

Practice address
1400 N RITTER AVE STE 431, INDIANAPOLIS, IN 46219-3050
(317) 355-9220
(317) 355-9230
Mailing address
4915 ABIGAIL DR, WESTFIELD, IN 46062-9348
(317) 946-7362

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28197769A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300053617
IN
Enumeration date
06/08/2021
Last updated
08/24/2021
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