Individual
BRANDY RENEE SELF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2600 TOWER DR STE 304, MONROE, LA 71201-5783
(319) 966-6320
(318) 966-6321
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 765-5727
(225) 765-4278
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
214453
LA
363LF0000X
Family Nurse Practitioner
Primary
214453
LA
Other
Enumeration date
05/20/2021
Last updated
06/30/2021
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