Healthcare Provider Details

I. General information

NPI: 1033043823
Provider Name (Legal Business Name): LATOYA BROWN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2111 N ARSENAL AVE STE A
INDIANAPOLIS IN
46218-3460
US

IV. Provider business mailing address

2111 N ARSENAL AVE STE A
INDIANAPOLIS IN
46218-3460
US

V. Phone/Fax

Practice location:
  • Phone: 317-525-2955
  • Fax: 317-947-0922
Mailing address:
  • Phone: 317-525-2955
  • Fax: 317-947-0922

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number26-020367
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: