Provider Demographics
NPI:1689452898
Name:BROWN, DANIELLE MONET (FNP-BC)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:MONET
Last Name:BROWN
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 487
Mailing Address - Street 2:8500 E. 116TH STREET
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46038-9998
Mailing Address - Country:US
Mailing Address - Phone:317-250-6341
Mailing Address - Fax:
Practice Address - Street 1:5699 E 71ST ST STE 1A
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46220-3987
Practice Address - Country:US
Practice Address - Phone:317-768-0096
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-19
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0033024363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily