Individual
MRS. BRANDY NICHOLE NISSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5 E WASHINGTON ST, DANVILLE, OH 43014-0385
(740) 398-2520
Mailing address
PO BOX 385, 5 E WASHINGTON ST, DANVILLE, OH 43014-0385
(740) 398-2520
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN120870
OH
Other
Enumeration date
03/19/2008
Last updated
03/19/2008
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