Provider Demographics
NPI:1720734700
Name:KIRLIN, BRIGID ANN (PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:BRIGID
Middle Name:ANN
Last Name:KIRLIN
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7340 CROSSING PL STE 100
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46038-2730
Mailing Address - Country:US
Mailing Address - Phone:463-220-0437
Mailing Address - Fax:317-245-3067
Practice Address - Street 1:7340 CROSSING PL STE 100
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46038-2730
Practice Address - Country:US
Practice Address - Phone:463-220-0437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-28
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0033562363LP0808X
IN71013475A363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health