Individual
BRANDY SULLIVAN BRANHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1700 DECLARATION DR, INDEPENDENCE, KY 41051-8441
(859) 898-1608
Mailing address
PO BOX 932958, CLEVELAND, OH 44193-0028
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3017539
KY
363LF0000X
Family Nurse Practitioner
Primary
3017539
KY
363LF0000X
Family Nurse Practitioner
APRN.CNP.0030691
OH
Other
Enumeration date
03/30/2022
Last updated
03/26/2025
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