Individual
ANGELA D BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
7979 N SHADELAND AVE STE 100, INDIANAPOLIS, IN 46250-2042
(317) 621-4300
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
71001573A
IN
163W00000X
Registered Nurse
RN28126849A
IN
363L00000X
Nurse Practitioner
Primary
71001573A
IN
363LF0000X
Family Nurse Practitioner
1-125055
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300007170
—
IN
Enumeration date
11/02/2006
Last updated
11/27/2023
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