MRS. KIMBERLY RAE BRANDENBURG


Address: 1916 15th St, Columbus, NE 68601-5127
Phone: 4029108083

MRS. KIMBERLY RAE BRANDENBURG (NPI# 1740842640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740842640
Entity Type Individual
Full Name MRS. KIMBERLY RAE BRANDENBURG
Credential APRN
Practice Address 1916 15th St
Columbus
NE 68601-5127
Mailing Address 1410 N 13th St
Norfolk
NE 68701-2669
Practice Telephone 4029108083
Mailing Telephone 4023792322
Enumeration Date 2019-07-01
Last Update Date 2019-07-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
112836 NE Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 1916 15TH ST
City COLUMBUS
State NE
Zip Code 68601-5127

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1811376627 Karla Kay Wagner Counselor 3309 31st Street, Columbus, NE 68601 2015-05-26
1295014983 Amberlace A Citta Nurse Practitioner 3775 45th Avenue, Columbus, NE 68601 2011-08-11
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City COLUMBUS
Zip Code 68601

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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