Individual
BRANDY BRANDFASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CPM
Contact information
Practice address
106 TRIMLEY CT, GOOSE CREEK, SC 29445-7076
(843) 824-6823
(843) 824-6823
Mailing address
106 TRIMLEY CT, GOOSE CREEK, SC 29445-7076
(843) 824-6823
(843) 824-6823
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
R71962
SC
176B00000X
Midwife
Primary
08080001
SC
176B00000X
Midwife
LM-037
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LM0018
—
SC
Enumeration date
05/19/2006
Last updated
10/14/2008
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