Individual
BRANDI CANTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
7650 E PARHAM RD STE 110, RICHMOND, VA 23294-4376
(804) 916-7062
(804) 918-2172
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
0024177836
VA
363LF0000X
Family Nurse Practitioner
Primary
0024177836
VA
Other
Enumeration date
08/16/2019
Last updated
12/13/2023
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