Individual
SAMANTHA BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
10825 47TH AVE, PLEASANT PRAIRIE, WI 53158-3526
(630) 220-9871
Mailing address
10825 47TH AVE, PLEASANT PRAIRIE, WI 53158-3526
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.409847
IL
163W00000X
Registered Nurse
Primary
23838730
WI
Other
Enumeration date
11/03/2017
Last updated
11/03/2017
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