Individual
BRENDA LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
430 N PARK AVE APT 312, INDIANAPOLIS, IN 46202-3678
(217) 840-7417
Mailing address
430 N PARK AVE APT 312, INDIANAPOLIS, IN 46202-3678
(217) 840-7417
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10004723A
IN
363A00000X
Physician Assistant
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Other
Enumeration date
01/15/2025
Last updated
06/18/2025
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