| Doctor Name: | KRISTA K BRANDT |
| NPI Number: | 1043484579 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | REGISTERED NURSE |
| License Number: | 1-111423 |
| Business Practice Address: | Lyster Army Health Clinic Bldg 301 Andrews Ave Ft Rucker, AL - 363625333 |
| Business Phone Number: | 3342557049 |
| Business Fax Number: | 3342557223 |
| Mailing Address: | Lyster Army Health Clinic, Bldg 301 Andrews Ave FT RUCKER |
| State: | AL |
| Postal Code: | 363625333 |
| Phone Number: | 3342557049 |
| Fax Number: | 3342557223 |
| NPI Enumeration Date: | 04/16/2008 |
| NPI Last Update Date: | 04/16/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC0400X |
| License Number: | 1-111423 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Case Management |
| Taxonomy Definition: | |