Healthcare Provider Details

I. General information

NPI: 1427830132
Provider Name (Legal Business Name): MARGARET ELIZABETH GEARHART BRANDT MSN, RN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2023
Last Update Date: 10/17/2023
Certification Date: 10/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

755 NORMAN DR
LEBANON PA
17042-3704
US

IV. Provider business mailing address

212 E HIGH ST
LEBANON PA
17042-5545
US

V. Phone/Fax

Practice location:
  • Phone: 717-273-6706
  • Fax:
Mailing address:
  • Phone: 717-599-0479
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberSP028426
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: