Individual
BRANDON JAMES HERRES
Active
Individual
BRANDON JAMES HERRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BSN CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
35187
AK
367500000X
Certified Registered Nurse Anesthetist
73185
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568764173
NPI
MT
Enumeration date
12/02/2010
Last updated
03/07/2019
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