Individual
KELLYANN BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3800 RESERVOIR RD NW, WASHINGTON, DC 20007-2113
(202) 444-3700
Mailing address
3800 RESERVOIR RD NW, WASHINGTON, DC 20007-2113
(202) 444-3700
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9219857
FL
363LA2100X
Acute Care Nurse Practitioner
Primary
RN1032812
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015763800
—
FL
Enumeration date
08/24/2015
Last updated
01/23/2023
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