Individual
MR. BRANDON VICTOR WITENZEN
Active
Individual
MR. BRANDON VICTOR WITENZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
432173
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
432173
NY
Other
Enumeration date
10/10/2021
Last updated
07/17/2023
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