Individual
BRANDY KOCISKO-MULLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
925 KEYNOTE CIR STE 300, BROOKLYN HTS, OH 44131-1869
(216) 931-1300
Mailing address
925 KEYNOTE CIR STE 300, BROOKLYN HTS, OH 44131-1869
(216) 931-1300
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN.417056
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306109558
NPI
OH
Enumeration date
11/05/2019
Last updated
11/05/2019
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