Individual
CHARLES R BRANDSMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APNP
Contact information
Practice address
750 REDWOOD HWY FRONTAGE RD STE 1210, MILL VALLEY, CA 94941-2483
(888) 663-6331
(415) 252-7176
Mailing address
60 VINTAGE CIR UNIT 124, PLEASANTON, CA 94566-6425
(608) 738-5482
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
7960-033
WI
363L00000X
Nurse Practitioner
95011657
CA
363LA2200X
Adult Health Nurse Practitioner
7960
WI
363LG0600X
Gerontology Nurse Practitioner
7960
WI
363LG0600X
Gerontology Nurse Practitioner
Primary
95011657
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100071920
—
WI
Enumeration date
09/12/2017
Last updated
10/29/2024
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