Doctor Name: | MRS. BARBARA ANN BRUBAKER |
NPI Number: | 1841292349 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN, BC |
License Number: | 71000733A |
Business Practice Address: | County Road 1100 West Westville, IN - 463919706 |
Business Phone Number: | 2197852511 |
Business Fax Number: | |
Mailing Address: | 660 E State Road 2, WESTVILLE |
State: | IN |
Postal Code: | 463919607 |
Phone Number: | 2194628337 |
Fax Number: | |
NPI Enumeration Date: | 08/15/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 71000733A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |