Individual
BRANDI EAGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
31820 HIGHWAY 190 W, SLIDELL, LA 70460
(985) 774-0387
Mailing address
31820 HIGHWAY 190 W, SLIDELL, LA 70460
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
EX047072
LA
Other
Enumeration date
05/25/2022
Last updated
05/25/2022
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