Individual
TRIDONNA DEVAL BRANDFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
7 MINK HOLLOW CT, OWINGS MILLS, MD 21117-4868
(410) 654-8610
Mailing address
3701 OLD COURT RD STE 4A, BALTIMORE, MD 21208-3901
(443) 898-6622
(866) 319-9336
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R122316
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R122316
MD
Other
Enumeration date
11/12/2013
Last updated
11/02/2023
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