Provider Demographics
NPI:1598921132
Name:KORTE, BRENDA LOUISE (FNP)
Entity type:Individual
Prefix:MRS
First Name:BRENDA
Middle Name:LOUISE
Last Name:KORTE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8460 N 100 E
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:IN
Mailing Address - Zip Code:47203-8001
Mailing Address - Country:US
Mailing Address - Phone:812-343-6596
Mailing Address - Fax:
Practice Address - Street 1:8460 N 100 E
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:IN
Practice Address - Zip Code:47203-8001
Practice Address - Country:US
Practice Address - Phone:812-343-6596
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-04
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71002705A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000990929OtherANTHEM PIN
IN201152170Medicaid
IN000000990929OtherANTHEM PIN
ININ2762064Medicare PIN