Healthcare Provider Details

I. General information

NPI: 1497520621
Provider Name (Legal Business Name): BRITTANY LYNN LEPARD NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRITTANY LYNN RICKS

II. Dates (important events)

Enumeration Date: 11/17/2023
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

705 RILEY HOSPITAL DR
INDIANAPOLIS IN
46202-5109
US

IV. Provider business mailing address

250 N SHADELAND AVE
INDIANAPOLIS IN
46219-4959
US

V. Phone/Fax

Practice location:
  • Phone: 317-944-8321
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number71014623A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: