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Individual

MRS. JENNIFER L BRANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1400 E BOULDER ST STE 2508, COLORADO SPRINGS, CO 80909-5533
(719) 365-6999
(719) 365-2837
Mailing address
157 CROSSHAVEN PL, CASTLE ROCK, CO 80104-3311
(303) 663-7942

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
140366
CO
367500000X
Certified Registered Nurse Anesthetist
Primary
APN.0004561-CRNA
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
54270855
CO
Enumeration date
01/31/2006
Last updated
05/30/2019
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