Individual
NADIYAH L BRANDON
Active
Individual
NADIYAH L BRANDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
105389953
MO
171M00000X
Case Manager/Care Coordinator
3000688782
GA
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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