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NPI Code Detail

MEDICARE: MRS. BRENDA KAY ANGIER FNP

MEDICARE: MRS. BRENDA KAY ANGIER FNP
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 Practitioner28153599AIN

General Provider Information

NPI Number : 1821238478
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BRENDA KAY ANGIER FNP
Provider Business Mailing Address
First Line : 200 SOUTH MERIDIAN STREET
Second Line : SUITE 400
City : INDIANAPOLIS
State : IN
Zip : 46206-0397
Country : US
Telephone Number : 317-637-4343
Fax Number : 317-637-4344
Provider Business Practice Location Address
First Line : 505 S 3RD ST
Second Line : SUITE 160
City : ELKHART
State : IN
Zip : 46516-3252
Country : US
Telephone Number : 574-294-7561
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2009
Last Update Date : 02/23/2009

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