Doctor Name: | BRANDY KIRSTEIN |
NPI Number: | 1831595115 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | L-59180 |
Business Practice Address: | 5017b Bess Moore Rd Apison, TN - 373029774 |
Business Phone Number: | 4238021776 |
Business Fax Number: | |
Mailing Address: | 5017b Bess Moore Rd, APISON |
State: | TN |
Postal Code: | 373029774 |
Phone Number: | 4238021776 |
Fax Number: | |
NPI Enumeration Date: | 11/13/2014 |
NPI Last Update Date: | 11/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WL0100X |
License Number: | L-59180 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Lactation Consultant |
Taxonomy Definition: |