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Contact Information

BRANDON ANDERSON, AGACNP
8050 TOWNSHIP LINE RD
INDIANAPOLIS, IN46260-2478
 Phone: 317-415-8500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

363LG0600X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for BRANDON ANDERSON · (Male)

NPI Number 1043607369
Status Active
Credentials AGACNP
Entity Individual
Enumeration date 04/24/2015
Last updated 07/17/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 71005507A
  • IN Medicaid 201292680
  • IN Other P01512410 MEDICARE RR PTAN
Hospital affiliation(s)
  • SPEARFISH REGIONAL HOSPITAL - (Acute Care)
    1440 N MAIN ST
    SPEARFISH, SD 57783
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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