Individual
BRANDI ELYSE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
158 MACAW LN, SIMI VALLEY, CA 93065-3152
(805) 584-1930
Mailing address
6818 SIMMONS WAY, MOORPARK, CA 93021-5062
(818) 807-9690
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95023146
CA
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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