ANASTACIA MARIE BRANDENBURG AGCNS-BC NPI 1346837002

NPI Information

NPI: 1346837002
Provider Name: ANASTACIA MARIE BRANDENBURG, AGCNS-BC
Classification: Clinical Nurse Specialist - 364SG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
14 TRAFALGAR SQ
TRAFALGAR, IN
ZIP 46181
Phone: (812) 636-1343
Get Directions

Anastacia Marie Brandenburg, AGCNS-BC is a gerontology clinical nurse specialist in Trafalgar, IN. Anastacia Marie Brandenburg, AGCNS-BC NPI is 1346837002. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

14 TRAFALGAR SQ
TRAFALGAR, IN
ZIP 46181-515
Phone: (812) 636-1343
Fax: (812) 526-4900

The NPI 1346837002 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 12/29/2020 and was last updated on 5/3/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WG0000X	Registered Nurse	General Practice	28093774A	INDIANA	No
2	364S00000X	Clinical Nurse Specialist		71012266A	INDIANA	No
3	364SA2200X	Clinical Nurse Specialist	Adult Health	71012266A	INDIANA	No
4	364SG0600X	Clinical Nurse Specialist	Gerontology	71012266A	INDIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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