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 1:1980 E 116TH ST STE 315
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-3517
Mailing Address - Country:US
Mailing Address - Phone:463-240-1670
Mailing Address - Fax:463-464-3576
Practice Address - Street 1:1980 EAST 116TH STREET
Practice Address - Street 2:STE 315
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032
Practice Address - Country:US
Practice Address - Phone:463-240-1670
Practice Address - Fax:463-464-3576
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-28
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71013475A363LP0808X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health