Individual
ERIN RUTH BRABANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1105 FAIRGROVE CHURCH RD SE, CONOVER, NC 28613-9090
(828) 267-0551
Mailing address
1024 30TH AVE LANE NE, HICKORY, NC 28601
(720) 989-4565
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
102916
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102916
LICENSURE
NC
01
—
1623
STATES LICENSE NUMBER
CO
Enumeration date
11/20/2006
Last updated
12/28/2012
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