Individual
BRANDI STANBACK ENLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1740 NICHOLASVILLE RD, LEXINGTON, KY 40503-1431
(859) 260-6100
Mailing address
6100 OLD RICHMOND RD, LEXINGTON, KY 40515-9721
(859) 533-4415
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1158085
KY
363LW0102X
Women's Health Nurse Practitioner
Primary
3017181
KY
Other
Enumeration date
04/24/2020
Last updated
12/02/2024
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