IndividualActive
Brandon Alt
NPI 1912306853 · Certified Registered Nurse Anesthetist · Elkhart, IN
Provider details
- NPI number
- 1912306853
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 28184329A (IN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
600 East Blvd
Elkhart, IN 46514-2483
Phone: (574) 523-3334
Approximate (ZIP-level) locationGet directions
Mailing address
600 East Blvd
Elkhart, IN 46514-2483
Registry dates
- Enumerated
- 2014-08-16
- Last updated
- 2014-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.