NPI 1871712166 · live from the CMS NPI Registry
Mackensie Marie Brandt, AUD
Audiologist in Grand Forks, ND. National Provider Identifier 1871712166, active.
NPI record
| NPI | 1871712166 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 1200 S Columbia Rd, Grand Forks, ND 58201 |
| Practice phone | 701-780-5000 |
| Mailing address | Po Box 6002, Grand Forks, ND 58206 |
| Enumerated | April 25, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist primary | 231H00000X | 806 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.