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NPI Code Detail

MEDICARE: ANDREA ANGLEBRANDT

MEDICARE: ANDREA ANGLEBRANDT
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1811829963
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA ANGLEBRANDT
Provider Business Mailing Address
First Line : 520 SUPERIOR ST
Second Line :
City : PORT HURON
State : MI
Zip : 48060-3838
Country : US
Telephone Number : 810-984-4202
Fax Number :
Provider Business Practice Location Address
First Line : 520 SUPERIOR ST
Second Line :
City : PORT HURON
State : MI
Zip : 48060-3838
Country : US
Telephone Number : 810-984-4202
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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Directions to “ ANDREA ANGLEBRANDT ” Practice Location

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