Individual
BRANDI WIEBUSCH ANDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN, IBCLC
Contact information
Practice address
6110 E COLFAX AVE STE 4-240, DENVER, CO 80220-1566
(303) 900-2315
Mailing address
6110 E COLFAX AVE STE 4-240, DENVER, CO 80220-1566
(303) 900-2315
(855) 595-2930
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
175113
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538804539
193400000X
CO
Enumeration date
10/06/2008
Last updated
09/26/2022
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