Individual
KELLYANN BRANDT
Active
Individual
KELLYANN BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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