NPI 1669728929 · live from the CMS NPI Registry
Christine S Brandt, PA-C
Physician Assistant in Fargo, ND. National Provider Identifier 1669728929, active.
NPI record
| NPI | 1669728929 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 2400 32nd Ave S, Fargo, ND 58103 |
| Practice phone | 701-234-8830 |
| Enumerated | July 24, 2012 |
| Last updated | January 20, 2017 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical | 363AM0700X | PAC0489 (ND) |
| Physician Assistant primary | 363A00000X | PAC0489 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.