Healthcare Provider Details

I. General information

NPI: 1760785091
Provider Name (Legal Business Name): PATRICIA MAE BROWNING NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/08/2010
Last Update Date: 01/21/2022
Certification Date: 01/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

429 E VERMONT ST STE 110
INDIANAPOLIS IN
46202-3685
US

IV. Provider business mailing address

9960 YOUNGWOOD LN
FISHERS IN
46038-7199
US

V. Phone/Fax

Practice location:
  • Phone: 317-559-0950
  • Fax:
Mailing address:
  • Phone: 317-770-9122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number71003374A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: