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Individual

BRENDA DANGLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
9805 GEIST CROSSING DR, INDIANAPOLIS, IN 46256-4819
(317) 577-1353
Mailing address
1717 CHAPMAN DR, GREENFIELD, IN 46140-2528
(317) 694-6784

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71001684
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200495180
ID
Enumeration date
10/03/2006
Last updated
03/29/2022
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