Sara Elizabeth Brainerd
Nurse Practitioner - Gerontology
7440 Woodland Dr
Indianapolis
, Indiana 46278-1720
Sara Elizabeth Brainerd
Nurse Practitioner - Gerontology
7440 Woodland Dr
Indianapolis
, Indiana 46278-1720
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Sara Elizabeth Brainerd
- 8180 Clearvista Pkwy
- Indianapolis, IN
- Zip : 46256-5629
- Phone :
Second Address
- Sara Elizabeth Brainerd
- 7440 Woodland Dr
- Indianapolis, IN
- Zip : 46278-1720
- Phone : (612) 632-6906
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | AG06210272 | IN |
National Provider Identifier
| NPI | 1013924224 |
|---|---|
| Provider Name | Sara Elizabeth Brainerd |
| First Address | Indianapolis, IN 46256-5629 |
| Second Address | Indianapolis, IN 46278-1720 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/08/2006 |
| Last Update Date | 19/11/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 100270530A | (05) | 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.