Individual
MEGAN LEIGH BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
300 W COUNTRY CLUB RD STE 230, ROSWELL, NM 88201-5240
(575) 622-1411
(575) 624-5630
Mailing address
300 W COUNTRY CLUB RD STE 230, ROSWELL, NM 88201-5240
(575) 622-1411
(575) 624-5630
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP134460
TX
363LF0000X
Family Nurse Practitioner
Primary
CNP-03352
NM
Other
Enumeration date
09/05/2017
Last updated
09/14/2020
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