NPI 1003504200 · live from the CMS NPI Registry
Michelle Denise Brandenburg
Registered Nurse, General Practice in Shawnee, KS. National Provider Identifier 1003504200, active.
NPI record
| NPI | 1003504200 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, General Practice 163WG0000X |
| Practice location | 5543 Belmont Dr, Shawnee, KS 66226 |
| Practice phone | 913-963-8202 |
| Enumerated | April 26, 2023 |
| Last updated | April 26, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, General Practice primary | 163WG0000X | 1359172121 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.