Brandt, Karen Renee

Brandt, Karen Renee is an individual health care provider with primary practice located at 1509 Wilson Ter , Glendale CA 91206-4007. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Brandt, Karen Renee can be contacted via phone (818) 409-8000.

Contact Information

Primary practice address
1509 Wilson Ter Glendale CA 91206-4007
Phone: (818) 409-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP30006993 Washington
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP15094 California

Profile Details

NPI number 1821074550
LBN Legal business name Brandt, Karen Renee
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated Nov 12th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821074550 NPPES
Washington MEDICAID 9647207

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