Individual
BRANDON ANDREW DERBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2000 NEUSE BLVD, NEW BERN, NC 28560-3449
(252) 633-8846
Mailing address
212 DRAKE LNDG, NEW BERN, NC 28560-8416
(252) 670-6358
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
128637
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
NC
Other
Enumeration date
12/05/2019
Last updated
12/31/2019
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