Individual
MR. BRANDON NEIDERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
1320 MERCY DR NW, CANTON, OH 44708-2614
(330) 489-1000
Mailing address
1320 MERCY DR NW, CANTON, OH 44708-2614
(330) 489-1000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
362722
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
021415
OH
Other
Enumeration date
08/01/2017
Last updated
06/26/2019
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