Individual
BRANDON ECHTENKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
809 ELM ST, MISSOURI VALLEY, IA 51555-1140
(712) 642-2794
Mailing address
809 ELM ST, MISSOURI VALLEY, IA 51555-1140
(712) 642-2794
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
112053
NE
363LF0000X
Family Nurse Practitioner
Primary
A144785
IA
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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