Individual provider · NPI-1

Brandy Lynn Anderson, FNP

Nurse Practitioner, Family · Bloomington, IN

NPI number1487221859
StatusActive
Last updated in NPPESJun 17, 2024

Details

NPI
1487221859
Entity type
Individual (NPI-1)
Name
Brandy Lynn Anderson
Credential
FNP
Sex
Female
Sole proprietor
No
Enumeration date
Jun 5, 2021
Certification date
Jun 17, 2024
Last updated
Jun 17, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyF11200203INYes

Practice location

1006 E Miller Dr
Bloomington, IN 47401-6716

Phone 812-340-9577

Mailing address

1006 E Miller Dr
Bloomington, IN 47401-6716

Phone 812-340-9577

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Nurse Practitioner, Family providers in Bloomington, IN