Individual
BRANDY CASEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1565 ADAMS AVE STE 12, COSTA MESA, CA 92626-3814
(949) 614-0052
Mailing address
1565 ADAMS AVE STE 12, COSTA MESA, CA 92626-3814
(949) 614-0052
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95010627
CA
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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