Individual
BRANDI SHANELL KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
2605 WELAUNEE BLVD, TALLAHASSEE, FL 32308-4697
(850) 877-8174
(844) 261-6839
Mailing address
3334 CAPITAL MEDICAL BLVD STE 400, TALLAHASSEE, FL 32308-4470
(850) 877-8174
(844) 261-6839
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN9385824
FL
Other
Enumeration date
08/13/2019
Last updated
05/20/2021
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