Most Relevant Information
Provider Data
| NPI Number: | 1003528639 |
| Provider Name: | BROOKE MICHELLE WEST FNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 71013595A |
Most Important Dates
| Enumeration Date: | 12/14/2022 |
| Last Updated: | 08/28/2023 |
Provider Practice Location
7440 WOODLAND DR
INDIANAPOLIS
IN
462781720
Practice Location Phone/Fax
| Phone: | 9999999999 |
| Fax: |
Provider Mailing Location
7440 WOODLAND DR
INDIANAPOLIS
IN
462781720
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |