Individual
MRS. BRENDA KAY ANSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN
Contact information
Practice address
8051 S EMERSON AVE STE 300, INDIANAPOLIS, IN 46237-8630
(317) 851-2663
(317) 851-2664
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
28104060A
IN
363L00000X
Nurse Practitioner
28104060A
IN
363L00000X
Nurse Practitioner
Primary
71004441A
IN
364SA2200X
Adult Health Clinical Nurse Specialist
28104060A
IN
Other
Enumeration date
05/16/2013
Last updated
02/15/2023
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