Individual
BRANDEE BAGBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4721 READING RD, CINCINNATI, OH 45237-6199
(513) 242-7600
(513) 842-1748
Mailing address
4721 READING RD, CINCINNATI, OH 45237-6199
(513) 242-7600
(513) 842-1748
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.163193.MEDS-IV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2910863
—
OH
Enumeration date
12/07/2020
Last updated
12/07/2020
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