NPI 1003504200

Michelle Denise Brandenburg

Practitioner General Practice Registered Nurse Shawnee, KS

Practice location

Address: 5543 Belmont Dr, Shawnee, KS 66226-3623
Phone: (913) 963-8202

Registered specialties

General Practice Registered Nurse Primary

Nursing Service Providers Taxonomy 163WG0000X Licence 1359172121 (KS)

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Registry record

NPI: 1003504200
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Apr 2023
Record last updated: 26 Apr 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.