Individual
BRENDA LEE CARR-VOGELGESANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
8150 OAKLANDON RD STE 130, INDIANAPOLIS, IN 46236-9554
(317) 621-1111
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28164681A
IN
363LF0000X
Family Nurse Practitioner
Primary
71002981A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000640747
ANTHEM PROVIDER NUMBER
IN
05
—
200958630
—
IN
01
—
P01214612
MEDICARE RAILROAD
IN
Enumeration date
07/20/2009
Last updated
02/17/2025
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