NPI 1205129608 · live from the CMS NPI Registry
Michelle D Brand
Social Worker in Fairbanks, AK. National Provider Identifier 1205129608, active.
NPI record
| NPI | 1205129608 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker 104100000X |
| Practice location | 3830 S Cushman St, Fairbanks, AK 99701 |
| Practice phone | 907-455-1416 |
| Mailing address | 486 Ookpik Way, Fairbanks, AK 99709 |
| Enumerated | May 18, 2011 |
| Last updated | May 18, 2011 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker primary | 104100000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.