Individual
MRS. BRANDY BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2775 ST. RT. 39, SHELBY, OH 44875
(419) 747-0832
Mailing address
2775 ST. RT. 39, SHELBY, OH 44875
(419) 747-0832
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 111562
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2876928
—
OH
Enumeration date
04/20/2017
Last updated
04/20/2017
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