Healthcare Provider Details

I. General information

NPI: 1326771031
Provider Name (Legal Business Name): BROOKE ROHLFING
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2022
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10590 N MERIDIAN ST STE 105
CARMEL IN
46290-1028
US

IV. Provider business mailing address

10590 N MERIDIAN ST STE 105
CARMEL IN
46290-1028
US

V. Phone/Fax

Practice location:
  • Phone: 317-583-7800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number71012661A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: