DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MARY M BRANT FPMHNP

MEDICARE:   MARY M BRANT  FPMHNP
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
1103TC0700XClinical Psychologist2007000444MO
2363LP0808XPsychiatric/Mental Health Nurse Practitioner2021028550MO

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 : 1356407720
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY M BRANT FPMHNP
Provider Business Mailing Address
First Line : PO BOX 844715
Second Line :
City : KANSAS CITY
State : MO
Zip : 64184-4715
Country : US
Telephone Number : 417-761-5214
Fax Number : 417-761-5065
Provider Business Practice Location Address
First Line : 17844 E 23RD ST S
Second Line :
City : INDEPENDENCE
State : MO
Zip : 64057-1840
Country : US
Telephone Number : 816-254-3652
Fax Number : 816-254-9243
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2006
Last Update Date : 01/30/2026

Similar Medicare Providers

1972018836 — EMILY C KELLY MA, LPC
Practice Location Address:
17844 E 23RD ST S
INDEPENDENCE, MO
64057-1840
Practice Phone: 816-254-3652
Practice Fax:
1578248035 — PAIGE L BEARINGER PLPC
Practice Location Address:
17844 E 23RD ST S
INDEPENDENCE, MO
64057-1840
Practice Phone: 816-254-3652
Practice Fax:
1629734322 — ANGELICA GRACE FORTENBERRY MSW, LCSW
Practice Location Address:
17844 E 23RD ST S
INDEPENDENCE, MO
64057-1840
Practice Phone: 816-254-3652
Practice Fax:
1669234050 — MELINDA B BONHAM MS, LMFT
Practice Location Address:
17844 E 23RD ST S
INDEPENDENCE, MO
64057-1840
Practice Phone: 816-254-3652
Practice Fax:
1518752278 — AUBREE A BRYAN LMSW
Practice Location Address:
17844 E 23RD ST S
INDEPENDENCE, MO
64057-1840
Practice Phone: 816-254-3652
Practice Fax: 816-254-9243
1770580730 — MRS. SOFIA S KHAN M.D.
Practice Location Address:
17844 E 23RD ST S
INDEPENDENCE, MO
64057-1840
Practice Phone: 816-254-3652
Practice Fax:

Directions to “ MARY M BRANT FPMHNP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.