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Brena Lee Ingersol, NP
Primary Care Nurse Practitioner in Avon, Indiana
NPI 1770052862

Brena Lee Ingersol is a Primary Care Nurse Practitioner based in Carmel, IN and is specialized in Primary Care. Brena Lee Ingersol practices in Avon, IN and has the professional credentials of NP. The NPI Number for Brena Lee Ingersol is 1770052862 and holds a License No. 71008687A (Indiana).

The current practice location address for Brena Lee Ingersol is 120 Avon Market Pl Ste 100, Avon, IN and can be reached out via phone at 317-396-1300 and via fax at 317-396-1395.

Location: 120 Avon Market Pl Ste 100, Avon, IN, 46032-3318
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Provider Profile Details
NPI Number
1770052862
Provider Name
Brena Lee Ingersol
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
120 Avon Market Pl Ste 100, Avon, IN, 46032-3318
Phone Number
317-396-1300
Fax Number
317-396-1395
Provider Enumeration Date
11/19/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
363LF0000X 01 IN TAXONOMY
institution
Provider Business Practice Location Address Details
Address
120 Avon Market Pl Ste 100
City
State
Zip
46123-6021
Phone Number
317-396-1300
Fax Number
317-396-1395
person
Provider Business Mailing Address Details
Address
120 Avon Market Pl Ste 100
City
State
Zip
46123-6021
Phone Number
317-396-1300
Fax Number
317-396-1395
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
71008687A (Indiana)
Definition
Definition to come...
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