Individual
BRENDAN ELLEBRACHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
901 S NATIONAL AVE, SPRINGFIELD, MO 65897-0027
(417) 836-5039
Mailing address
1749 WALTERS WAY, SAINT CHARLES, MO 63303-4651
(636) 448-1580
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201803196
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
2023025394
MO
Other
Enumeration date
07/22/2022
Last updated
08/02/2023
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