NPI | 1700243375 |
---|---|
Professional Name | ANDRE BRANTLEY |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP129881 /RN 693436) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP129881) |
Enumeration Date | 2016-01-27 |
Last Update Date | 2020-10-30 |