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Individual

HEATHER MICHELLE BRANDENBURG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
559 VINCENT ST, COLORADO SPRINGS, CO 80914-1541
(719) 556-5898
Mailing address
559 VINCENT ST, COLORADO SPRINGS, CO 80914-1541
(719) 556-5898

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
APN.0996396-NP
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
9304077
ARNP LICENSE
FL
01
F01180646
AANP CERTIFICATION
Enumeration date
03/21/2018
Last updated
02/02/2023
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