Individual
BRANDON PHILIP DURBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
7150 CLEARVISTA DR, INDIANAPOLIS, IN 46256-1695
(317) 621-5890
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-7547
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
209009401
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
28264150A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30046762
—
IN
01
—
87879
AANA NUMBER
IL
Enumeration date
02/23/2012
Last updated
10/20/2022
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