Wiltermuth, Brandy Lee

Wiltermuth, Brandy Lee is an individual health care provider with primary practice located at 17924 140Th Ave Ne Suite 100, Woodinville WA 98072-4315. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Wiltermuth, Brandy Lee can be contacted via phone (425) 778-2220.

Contact Information

Primary practice address
17924 140Th Ave Ne Suite 100 Woodinville WA 98072-4315
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP60226772 Washington

Profile Details

NPI number 1285865402
LBN Legal business name Wiltermuth, Brandy Lee
Credentials AP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2009
Last updated Mar 17th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285865402 NPPES
Colorado MEDICAID 42536529
Colorado Other AP60226772

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