Individual
MARILYN R BRANDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHCNP
Contact information
Practice address
57950 LEAVENWORTH ST, MCCONNELL AFB, KS 67221-3506
(316) 759-6300
(316) 759-1304
Mailing address
57950 LEAVENWORTH ST, MCCONNELL AFB, KS 67221-3506
(316) 759-6300
(316) 759-1304
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
44757
KS
Other
Enumeration date
12/23/2005
Last updated
04/17/2009
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