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NPI Code Detail

MEDICARE: MRS. SARAH BRANDLER APRN

MEDICARE: MRS. SARAH BRANDLER APRN
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerR 227077-3MN

General Provider Information

NPI Number : 1992171961
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SARAH BRANDLER APRN
Provider Business Mailing Address
First Line : 2327 HAMPTON RHODES CT NW
Second Line :
City : ROCHESTER
State : MN
Zip : 55901-8054
Country : US
Telephone Number : 206-963-6378
Fax Number :
Provider Business Practice Location Address
First Line : 1620 GREENVIEW DR SW
Second Line :
City : ROCHESTER
State : MN
Zip : 55902-4319
Country : US
Telephone Number : 507-218-3701
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2015
Last Update Date : 08/13/2015

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