Debra K Brandenberger NP

NPI 1063412419 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1063412419
Gender Female
Enumeration Date 07/28/2005
Last Updated 06/16/2016
Entity Type Individual
Active Over 11 years ago
Practice Location
700 BROADWAY
2ND FLOOR
FORT WAYNE IN, 46802-1402, US
Phone (260) 424-9000
Fax (260) 425-3029
Business Location
2518 E DUPONT RD
FORT WAYNE IN, 46825-1675, US
Phone (260) 432-4400
Fax (260) 969-6884
Toxanomy
Taxonomy Code 363LA2200X
License State Indiana
License Number 71000773A
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According to our database, Debra K Brandenberger NP NPI is 1063412419, taxonomy code is 363LA2200X and license number is 71000773A, license state is located at Indiana. Debra K Brandenberger NP physically located at 700 Broadway, Fort Wayne IN, 46802-1402. NPI Number Debra K Brandenberger NP has the Individual type.

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1063412419 NPI number is provided on an as is basis without warranty of any kind. 1063412419 is maintained by the National Plan & Provider Enumeration System. The contents of Debra K Brandenberger NP are for informational purposes only.