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NPI Code Detail

MEDICARE: BRANDON MICHAEL DONATHAN FNP-C

MEDICARE:   BRANDON MICHAEL DONATHAN  FNP-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
1363LF0000XFamily Nurse Practitioner71015016AIN

General Provider Information

NPI Number : 1245118546
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRANDON MICHAEL DONATHAN FNP-C
Provider Business Mailing Address
First Line : 330 W PLEASANT ST
Second Line :
City : DUNKIRK
State : IN
Zip : 47336-1135
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 600 BARNHILL DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46202-5218
Country : US
Telephone Number : 317-274-2806
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2025
Last Update Date : 08/25/2025

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Directions to “ BRANDON MICHAEL DONATHAN FNP-C” Practice Location

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