Individual
LEE BRATTAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3678 WALDEN PL, CARMEL, IN 46033-4324
(765) 967-0070
Mailing address
3678 WALDEN PL, CARMEL, IN 46033-4324
(765) 967-0070
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
28222124A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28222124A
—
IN
Enumeration date
08/30/2022
Last updated
08/30/2022
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