Individual
BRANDI DANIELLE HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
620 MAPLE VALLEY DR, FARMINGTON, MO 63640-1976
(573) 454-2466
(573) 454-2544
Mailing address
620 MAPLE VALLEY DR, FARMINGTON, MO 63640-1976
(573) 454-2466
(573) 454-2544
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2010037297
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2010037297
FNP LICENSE
MO
Enumeration date
09/02/2010
Last updated
07/23/2025
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