| Susan Brandenburg, NP | |
|
523 S State Road 67, Mooresville, IN 46158-2792 | |
| (866) 389-2727 | |
| Not Available |
| Full Name | Susan Brandenburg |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 523 S State Road 67, Mooresville, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255196838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71014940A (Indiana) | Secondary |
| 363L00000X | Nurse Practitioner | 71014940A (Indiana) | Primary |
| Entity Name | Minuteclinic Diagnostics Of Indiana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932171634 PECOS PAC ID: 3072548502 Enrollment ID: O20051003000830 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Brandenburg, NP 523 S State Road 67, Mooresville, IN 46158-2792 Ph: () - | Susan Brandenburg, NP 523 S State Road 67, Mooresville, IN 46158-2792 Ph: (866) 389-2727 |
Cortney Michelle Riley, MSN, APRN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 Hadley Rd Ste 103, Mooresville, IN 46158 Phone: 765-961-5161 | |
Gaynell S Pierson, MSN, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 115 Fields St, Mooresville, IN 46158 Phone: 317-584-0038 Fax: 317-834-5469 | |
Britani N Frame, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 820 N Samuel Moore Pkwy, Mooresville, IN 46158 Phone: 317-483-5000 Fax: 317-483-5050 | |
Amy Jo King, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1205 Hadley Rd Ste 130, Mooresville, IN 46158 Phone: 317-831-9340 Fax: 317-834-4320 | |
Kelly L. Prather, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1199 Hadley Rd Ste 100, Mooresville, IN 46158 Phone: 317-834-3263 Fax: 317-834-5194 | |
Amy Renee' Burchett, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 480 N Town Center Rd # 436, Mooresville, IN 46158 Phone: 812-585-3626 Fax: 800-420-0273 |