Individual
ANASTACIA MARIE BRANDENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGCNS-BC
Contact information
Practice address
14 TRAFALGAR SQ, TRAFALGAR, IN 46181-9515
(812) 636-1343
(812) 526-4900
Mailing address
14 TRAFALGAR SQ, TRAFALGAR, IN 46181-9515
(812) 636-1343
(812) 526-4900
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
28093774A
IN
364S00000X
Clinical Nurse Specialist
71012266A
IN
364SA2200X
Adult Health Clinical Nurse Specialist
71012266A
IN
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
71012266A
IN
Other
Enumeration date
12/29/2020
Last updated
05/03/2022
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