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NPI Code Detail

MEDICARE: BROOKE RISCHAR PMHNP-BC

MEDICARE: BROOKE RISCHAR PMHNP-BC
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner2024084671IN

General Provider Information

NPI Number : 1942092085
Entity Type Code : Individual
Provider Name (Legal Business Name) : BROOKE RISCHAR PMHNP-BC
Provider Business Mailing Address
First Line : 702 GREENWOOD SPRINGS DR APT 2315
Second Line :
City : GREENWOOD
State : IN
Zip : 46143-6062
Country : US
Telephone Number : 317-954-7611
Fax Number : 317-954-7611
Provider Business Practice Location Address
First Line : 8150 BROOKVILLE RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46239-8903
Country : US
Telephone Number : 317-754-7784
Fax Number : 360-925-3259
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2025
Last Update Date : 05/22/2025

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Directions to “ BROOKE RISCHAR PMHNP-BC” Practice Location

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