Individual
MS. SUSAN MARIE BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
613 SHIPYARD BLVD, WILMINGTON, NC 28412-6492
(910) 202-3860
Mailing address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(910) 202-5709
(910) 202-9966
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5001747
NC
363LF0000X
Family Nurse Practitioner
005001747
NC
363LP2300X
Primary Care Nurse Practitioner
Primary
5001747
NC
Other
Enumeration date
01/09/2007
Last updated
08/24/2022
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