Individual
MRS. ERIN ANNE BRANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3900 E BRISTOL ST, ELKHART, IN 46514-4466
(800) 635-5516
Mailing address
710 N NILES AVE, SOUTH BEND, IN 46617-1924
(574) 647-1610
(574) 647-1825
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
28171853A
IN
363LF0000X
Family Nurse Practitioner
Primary
71004190
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000811592
BCBS MED PT COBBLESTONE
IN
05
—
201141160
—
IN
Enumeration date
10/17/2012
Last updated
03/04/2016
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