Individual
BRANDA IRVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
618 MAPLE VALLEY DR STE A, FARMINGTON, MO 63640-1976
(573) 756-3400
(573) 756-0800
Mailing address
618 MAPLE VALLEY DR STE A, FARMINGTON, MO 63640-1976
(573) 756-3400
(573) 756-0800
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2017022379
MO
Other
Enumeration date
05/31/2023
Last updated
07/31/2025
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