MEDICARE: MS. BRIANA MARIE KING NP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	71005899A	IN
2	363LF0000X	Family Nurse Practitioner	28193139A	IN

General Provider Information

NPI Number	:	1154791051
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BRIANA MARIE KING NP-C

Provider Business Mailing Address
First Line	:	9460 E 146TH ST
Second Line	:
City	:	NOBLESVILLE
State	:	IN
Zip	:	46060-4966
Country	:	US
Telephone Number	:	317-620-0232
Fax Number	:	317-802-2170

Provider Business Practice Location Address
First Line	:	9460 E 146TH ST
Second Line	:
City	:	NOBLESVILLE
State	:	IN
Zip	:	46060-4966
Country	:	US
Telephone Number	:	317-620-0232
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/05/2015
Last Update Date	:	12/17/2025

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