Individual
MR. BRANDON D FOUTCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP, FNP-BC
Contact information
Practice address
1910 HILLBROOKE TRL STE 2, TALLAHASSEE, FL 32311-7914
(850) 878-2637
(850) 220-1849
Mailing address
1910 HILLBROOKE TRL STE 2, TALLAHASSEE, FL 32311-7914
(850) 878-2637
(877) 502-2767
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP9258198
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001421700
—
FL
05
—
003109756A
—
GA
01
—
363LF0000X
NURSE PRACTITIONER-FAMILY
FL
01
—
CM292Z
MEDICARE PTAN
FL
Enumeration date
09/14/2009
Last updated
02/18/2022
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