Individual
BRANDI MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
9 RICHLAND MEDICAL PARK DR STE 500, COLUMBIA, SC 29203-6870
(803) 434-4555
(803) 434-4599
Mailing address
3841 FERNLEAF RD, COLUMBIA, SC 29206-3319
(803) 556-7331
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19994
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP4153
—
SC
Enumeration date
02/04/2016
Last updated
02/04/2022
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