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KATRINA DAWN BRANDENBURG RN CNP NPI 1609173152


NPI Information

NPI: 1609173152
Provider Name: KATRINA DAWN BRANDENBURG, RN, CNP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
30 E APPLE ST
SUITE NW3300
DAYTON, OH
ZIP 45409
Phone: (937) 208-8394
Get Directions

Katrina Dawn Brandenburg, RN, CNP is an acute care nurse practitioner in Dayton, OH with 14 years of experience. Katrina Dawn Brandenburg, RN, CNP NPI is 1609173152. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

30 E APPLE ST
SUITE NW3300
DAYTON, OH
ZIP 45409-939
Phone: (937) 208-8394
Fax: (937) 208-8388

The NPI 1609173152 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/18/2011 and was last updated on 6/6/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163W00000XRegistered NurseRN 251676OHIONo
2363LA2100XNurse PractitionerAcute CareCOA 12146 NPOHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H035780MEDICARE PINOHIO
20053037MEDICAIDOHIO
3H035781MEDICARE PINOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.