# BRANDY BRANDFASS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1134172950
- **Gender:** F
- **Credential:** RN, CPM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WM0102X | Maternal Newborn Registered Nurse | R71962 | SC | — |
| 176B00000X | Midwife | 08080001 | SC | Yes |
| 176B00000X | Midwife | LM-037 | SC | — |

## Other

- **Enumeration date:** 05/19/2006
- **Last updated:** 10/14/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | LM0018 | — | SC |