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Ms. Brooke S. Southerland, PA-C
Physician Assistant in Indianapolis, Indiana
NPI 1205123833

Brooke S. Southerland is a Physician Assistant based in Indianapolis, IN. Brooke S. Southerland practices in Indianapolis, IN and has the professional credentials of PA-C. The NPI Number for Brooke S. Southerland is 1205123833 and holds a License No. (Indiana).

The current practice location address for Brooke S. Southerland is 1701 N Senate Avenue, Indianapolis, IN and can be reached out via phone at 317-962-3886 and via fax at 317-962-8552.

Location: 1701 N Senate Avenue, Indianapolis, IN, 46219-4959
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Provider Profile Details
NPI Number
1205123833
Provider Name
Brooke S. Southerland
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1701 N Senate Avenue, Indianapolis, IN, 46219-4959
Phone Number
317-962-3886
Fax Number
317-962-8552
Provider Enumeration Date
07/04/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000743223 01 IN ANTHEM PIN
institution
Provider Business Practice Location Address Details
Address
1701 N Senate Avenue
City
State
Zip
46202-1239
Phone Number
317-962-3886
Fax Number
317-962-8552
person
Provider Business Mailing Address Details
Address
1701 N Senate Avenue
City
State
Zip
46202-1239
Phone Number
317-962-3886
Fax Number
317-962-8552
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
License No.
10001364A (Indiana)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
(New York)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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