Individual
ERNEST BRANDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN, NP-C
Contact information
Practice address
979 E. THIRD STREET, SUITE C-520, CHATTANOOGA, TN 37403-2147
(423) 778-5661
(423) 778-5664
Mailing address
975 E. THIRD STREET, ATTN: PROVIDER ENROLLMENT, CHATTANOOGA, TN 37403-2147
(423) 778-5661
(423) 778-5664
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19788
TN
Other
Enumeration date
03/27/2015
Last updated
11/01/2017
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