Provider Demographics
NPI:1407534084
Name:BRANDENBURG, SYDNEY M (DNP, APRN)
Entity Type:Individual
Prefix:
First Name:SYDNEY
Middle Name:M
Last Name:BRANDENBURG
Suffix:
Gender:F
Credentials:DNP, APRN
Other - Prefix:
Other - First Name:SYDNEY
Other - Middle Name:M
Other - Last Name:BROWNFIELD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12536 PARKVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66109-3798
Mailing Address - Country:US
Mailing Address - Phone:785-608-7421
Mailing Address - Fax:
Practice Address - Street 1:3901 RAINBOW BLVD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-8500
Practice Address - Country:US
Practice Address - Phone:913-588-3894
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-05
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS79811363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner