Individual
BRANDIE CHILDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2054 S GREEN RD, SOUTH EUCLID, OH 44121-4243
(216) 291-9210
Mailing address
2054 S GREEN RD, SOUTH EUCLID, OH 44121-4243
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
14636
OH
Other
Enumeration date
07/03/2013
Last updated
07/03/2013
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