Provider Demographics
NPI:1942092085
Name:RISCHAR, BROOKE (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:BROOKE
Middle Name:
Last Name:RISCHAR
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 1:702 GREENWOOD SPRINGS DR APT 2315
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46143-6062
Mailing Address - Country:US
Mailing Address - Phone:317-954-7611
Mailing Address - Fax:317-954-7611
Practice Address - Street 1:8150 BROOKVILLE RD
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46239-8903
Practice Address - Country:US
Practice Address - Phone:317-754-7784
Practice Address - Fax:360-925-3259
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN2024084671363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health