Individual provider · Type 1 NPI

Mary Grace Brandon, NP

Acute Care Nurse Practitioner · Beverly Hills, CA

NPI number 1164632287 Active

Practice location

9090 Wilshire Blvd, 200
Beverly Hills, CA 90211-1848

Fax (310) 388-1381

Mailing address

4140 W 190th St
Torrance, CA 90504-5513

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X534909 (CA)
Acute Care Nurse Practitioner Primary 363LA2100XNP13711 (CA)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1164632287

Mary Grace Brandon, NP's National Provider Identifier is 1164632287, issued on May 24, 2007. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Beverly Hills, CA. The record was last updated on Jul 18, 2022.