Healthcare Provider Details

I. General information

NPI: 1457623928
Provider Name (Legal Business Name): BRANDY M. GERMAN NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRANDY RITTER GERMAN NP-C

II. Dates (important events)

Enumeration Date: 01/31/2012
Last Update Date: 01/18/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3270 INTERTECH DR STE B
ANGOLA IN
46703-7325
US

IV. Provider business mailing address

6920 POINTE INVERNESS WAY STE 200 MEDPARTNERS, ATTN: MEGAN FORTNEY
FORT WAYNE IN
46804-7934
US

V. Phone/Fax

Practice location:
  • Phone: 260-665-9100
  • Fax: 260-665-9112
Mailing address:
  • Phone: 260-479-3515
  • Fax: 260-479-3520

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71003858A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: