Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 26NJ00374100 | NJ |
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | F350379 | NY |
NPI | 1265812150 |
---|---|
Provider Name | Brandi Aemisegger |
First Address | West Point, NY 10996-1307 |
Second Address | West Point, NY 10996-1307 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2015 |
Last Update Date | 04/06/2015 |