Individual
NICHOLE LEE BRANDTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
820 DELTA AVE, CINCINNATI, OH 45226-1221
(513) 321-9902
Mailing address
6292 OLD US HIGHWAY 68, GEORGETOWN, OH 45121-8716
(937) 378-1378
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35.074162
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2239849
—
OH
Enumeration date
05/19/2007
Last updated
07/08/2007
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