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ANASTACIA MARIE BRANDENBURG RN
General Practice >> Registered Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1346837002
Individual Registrant: ANASTACIA MARIE BRANDENBURG RN
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
911 E MAIN CROSS ST EDINBURGH, IN 46124-1501 US
Tel: 812-636-1343 Fax: 812-526-4900
Tel: 812-636-1343 Fax: 812-526-4900
Contact information for business:
911 E MAIN CROSS ST EDINBURGH, IN 46124-1501 US
Tel: 812-636-1343 Fax: 812-526-4900
Tel: 812-636-1343 Fax: 812-526-4900
Registration Information:
NPI: 1346837002
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 163WG0000X | Nursing Service Providers Registered Nurse General Practice | IN | 28093774A |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
