Provider Demographics
NPI:1669735510
Name:BRANDT, SUSANNE (NP)
Entity type:Individual
Prefix:
First Name:SUSANNE
Middle Name:
Last Name:BRANDT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:952 GRUENE RD
Mailing Address - Street 2:STE 150
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-3934
Mailing Address - Country:US
Mailing Address - Phone:830-626-9911
Mailing Address - Fax:830-626-9922
Practice Address - Street 1:952 GRUENE RD STE 150
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-3934
Practice Address - Country:US
Practice Address - Phone:830-626-9911
Practice Address - Fax:830-626-9922
Is Sole Proprietor?:No
Enumeration Date:2012-06-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX539764363LF0000X
TXAP121898363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily