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Individual

NADIYAH L BRANDON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
1841 ARROW POINT DR, SAINT LOUIS, MO 63138
(314) 708-9822
Mailing address
2847 OLDKNOW DR NW, ATLANTA, GA 30318
(314) 371-7717

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
105389953
MO
171M00000X
Case Manager/Care Coordinator
3000688782
GA
171M00000X
Case Manager/Care Coordinator
172A00000X
Driver
172V00000X
Community Health Worker
246Z00000X
Other Specialist/Technologist
251B00000X
Case Management Agency
Primary
3000688782
MO
251J00000X
Nursing Care Agency
300688782
GA
253Z00000X
In Home Supportive Care Agency
3000688782
GA
372500000X
Chore Provider
3747P1801X
Personal Care Attendant
374U00000X
Home Health Aide
376J00000X
Homemaker
376K00000X
Nurse's Aide

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14645636
CAQH
MO
01
150249
SUPPLIER
WA
05
DM3700
MO
01
NBRANDON35
ID
GA
01
PMOD10414
PUBLIC PARTNERSHIP
MO
Enumeration date
07/31/2018
Last updated
05/20/2021
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