Brandon Anderson
Nurse Practitioner - Gerontology
8050 Township Line Rd
Indianapolis
, Indiana 46260-2478
Brandon Anderson
Nurse Practitioner - Gerontology
8050 Township Line Rd
Indianapolis
, Indiana 46260-2478
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Brandon Anderson
- Po Box 12812
- Belfast, ME
- Zip : 04915-4040
- Phone :
Second Address
- Brandon Anderson
- 8050 Township Line Rd
- Indianapolis, IN
- Zip : 46260-2478
- Phone : (317) 415-8500
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | 71005507A | IN |
National Provider Identifier
| NPI | 1043607369 |
|---|---|
| Provider Name | Brandon Anderson |
| First Address | Belfast, ME 04915-4040 |
| Second Address | Indianapolis, IN 46260-2478 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/04/2015 |
| Last Update Date | 17/07/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 201292680 | (05) | IN |
| P01512410 | MEDICARE RR PTAN (01) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.