Individual
MS. BRANDI NICOLE CANTERBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,BSN
Contact information
Practice address
14 WILDCAT WAY, LOGAN, WV 25601-3474
(304) 752-1804
(304) 752-0207
Mailing address
14 WILDCAT WAY, LOGAN, WV 25601-3474
(304) 752-1804
(304) 752-0207
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
61987
WV
Other
Enumeration date
09/21/2017
Last updated
07/21/2022
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