Individual provider · Type 1 NPI

Brooke Waite

Nurse Practitioner · South Bend, IN

NPI number 1801500046 Active

Practice location

100 Navarre Pl Ste 5500
South Bend, IN 46601-1172

Call (574) 647-5200 Map

Fax (574) 647-5210

Mailing address

3245 Health Dr Ste 100
Granger, IN 46530-1380

Other practice locations

6480 Technology Ave Ste A, Kalamazoo, MI 49009-8126 · (877) 232-2857
801 Hazen St, Paw Paw, MI 49079-2008 · (269) 657-5574

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	4704312163 (MI)
Registered Nurse	163W00000X	4704312169 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1801500046

Brooke Waite's National Provider Identifier is 1801500046, issued on Jan 12, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in South Bend, IN. The record was last updated on Sep 5, 2025.