Individual
BRANDY SUSANNE HEINLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
741 S WALNUT ST, BERNIE, MO 63822-8900
(573) 293-6836
Mailing address
6738 STATE HIGHWAY 77, BENTON, MO 63736-8238
(573) 313-2500
(573) 888-4989
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
144264
MO
Other
Enumeration date
08/04/2009
Last updated
05/12/2021
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