Individual
MRS. BRANDI BURNETT FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7 INDEPENDENCE PT FL 4, GREENVILLE, SC 29615-4566
(864) 522-3700
(864) 522-3705
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 695-6697
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4095
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN2028
—
SC
01
—
P00905789
RAILROAD MEDICARE
SC
Enumeration date
01/07/2010
Last updated
12/04/2024
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