Individual
MRS. ADRIENNE BRANTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
143 BERGER AVE, SYRACUSE, NY 13205-1705
(315) 928-5586
Mailing address
143 BERGER AVE, SYRACUSE, NY 13205-1705
(315) 928-5586
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
325835
NY
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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