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NPI Code Detail

MEDICARE: SHARON R BRANDT CRNA

MEDICARE: SHARON R BRANDT CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse AnesthetistR100409-2MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013989169
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARON R BRANDT CRNA
Provider Business Mailing Address
First Line : 200 1ST ST SW
Second Line :
City : ROCHESTER
State : MN
Zip : 55905-0001
Country : US
Telephone Number : 507-284-2511
Fax Number :
Provider Business Practice Location Address
First Line : 1025 MARSH ST
Second Line :
City : MANKATO
State : MN
Zip : 56001-4752
Country : US
Telephone Number : 507-625-4031
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2006
Last Update Date : 04/12/2024

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