Individual
BRANDY DANIELLE CONNERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
737 STATE HIGHWAY 72, POTSDAM, NY 13676-3411
(315) 265-5034
Mailing address
PO BOX 587, 49 CATHERINE ST, PARISHVILLE, NY 13672-0587
(315) 265-3670
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
277829
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02588916
—
NY
Enumeration date
02/16/2007
Last updated
06/30/2008
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