Individual
BRIANNA P BONNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
550 UNIVERSITY BLVD STE 170, INDIANAPOLIS, IN 46202-5149
(317) 948-4272
Mailing address
950 N MERIDIAN ST STE 500, INDIANAPOLIS, IN 46204-3908
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002608A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001233374
ANTHEM PTAN
IN
05
—
300022403
—
IN
01
—
Q00047646
RAILROAD PTAN
IN
Enumeration date
10/23/2018
Last updated
05/16/2025
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