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Contact Information

BRANDEE J FLAGG, NP
615 N MICHIGAN ST
SOUTH BEND, IN46601
 Phone: 574-234-5123
 Fax: 574-282-2813
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for BRANDEE J FLAGG · (Female)

NPI # 1649505637
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 10/08/2009
Last updated 08/23/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 71003179A
  • IN Medicaid 200973990
  • IN Other 000000646392 ANTHEM
Hospital affiliation(s)
  • SAINT JOSEPH REGIONAL MEDICAL CENTER - (Acute Care)
    5215 HOLY CROSS PKWY
    MISHAWAKA, IN 46545
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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