Individual
MARY M BRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FPMHNP
Contact information
Practice address
17844 E 23RD ST S, INDEPENDENCE, MO 64057-1840
(816) 254-3652
(816) 254-9243
Mailing address
PO BOX 844715, KANSAS CITY, MO 64184-4715
(417) 761-5214
(417) 761-5065
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
2007000444
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2021028550
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
496300807
—
MO
Enumeration date
12/29/2006
Last updated
01/30/2026
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