Individual
BRANDI VANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
83 HOSPITAL DR, LOGAN, WV 25601-3451
(304) 831-1101
Mailing address
83 HOSPITAL DR, LOGAN, WV 25601-3451
(304) 831-1101
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
103370
WV
Other
Enumeration date
06/06/2019
Last updated
11/28/2022
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