Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | MW008121L | PA |
NPI | 1134185218 |
---|---|
Provider Name | Barbara Brandt |
First Address | Camp Hill, PA 17011-1708 |
Second Address | Camp Hill, PA 17011-2207 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2006 |
Last Update Date | 10/02/2014 |