Individual
BRANDI OOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1412 N 2ND ST, ATCHISON, KS 66002-1203
(913) 367-4879
Mailing address
1412 N 2ND ST, ATCHISON, KS 66002-1203
(913) 367-4879
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
14-122450-032
KS
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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