Individual
BRANDY LARA MIZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
218 CHESTNUT ST, COSHOCTON, OH 43812-1131
(740) 622-7284
Mailing address
26180 STATE ROUTE 83, COSHOCTON, OH 43812-9626
(740) 502-8033
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.451601
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN.451601
OHIO BOARD OF NURSING
OH
Enumeration date
01/14/2022
Last updated
01/14/2022
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