Individual provider · Type 1 NPI

Melida Brandt

Nurse Practitioner · Marietta, GA

NPI number 1073059804 Active

Practice location

55 Whitcher St NE, Suite 350
Marietta, GA 30060-1155

Fax (770) 563-0740

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN204131 (GA)
Gerontology Nurse Practitioner 363LG0600XRN204131 (GA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1073059804

Melida Brandt's National Provider Identifier is 1073059804, issued on Jan 18, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Marietta, GA. The record was last updated on Mar 20, 2025.