Provider Demographics
NPI:1639457666
Name:BRANDBERG, ANNE E (NP)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:E
Last Name:BRANDBERG
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:9201 E MOUNTAIN VIEW RD STE 220
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-5172
Mailing Address - Country:US
Mailing Address - Phone:480-862-1700
Mailing Address - Fax:480-718-7643
Practice Address - Street 1:100 S 5TH ST FL 19
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55402-1210
Practice Address - Country:US
Practice Address - Phone:480-862-1700
Practice Address - Fax:480-718-7643
Is Sole Proprietor?:No
Enumeration Date:2011-07-25
Last Update Date:2018-02-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MNR 173393-6363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health