Individual
ALEXIS BRANDENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
6 13TH AVE E, POLSON, MT 59860-5315
(406) 883-5377
Mailing address
6 13TH AVE E, POLSON, MT 59860-5315
(406) 883-5377
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
14141
MT
Other
Enumeration date
08/11/2010
Last updated
04/23/2021
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