Individual
BRANDI BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
738 MERCER ST, PRINCETON, WV 24740-3114
(304) 323-3069
(304) 324-7946
Mailing address
146 ELLISON SCHOOL RD, CAMP CREEK, WV 25820-9056
(304) 921-6445
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
110053
WV
Other
Enumeration date
04/30/2025
Last updated
04/30/2025
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