Individual
KATRINA DAWN BRANDENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNP
Contact information
Practice address
30 E APPLE ST, SUITE NW3300, DAYTON, OH 45409-2939
(937) 208-8394
(937) 208-8388
Mailing address
30 E APPLE ST, SUITE NW3300, DAYTON, OH 45409-2939
(937) 208-8394
(937) 208-8388
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN 251676
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
COA 12146 NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0053037
—
OH
Enumeration date
02/18/2011
Last updated
06/06/2016
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