Individual
MARY PATRICIA BRANDENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
303 BELTLINE PL SW STE A1, DECATUR, AL 35603-1716
(256) 539-2728
Mailing address
927 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4306
(256) 539-2728
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-121617
AL
363LF0000X
Family Nurse Practitioner
1-121617
AL
363LF0000X
Family Nurse Practitioner
209.022541
IL
Other
Enumeration date
08/01/2018
Last updated
08/08/2025
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