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Individual

MRS. BRANDIE LYN MCGUIRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN, APRN, WHNP-BC

Contact information

Practice address
7756 WASHINGTON VILLAGE DR STE 135, CENTERVILLE, OH 45459
(937) 531-0190
(937) 531-0191
Mailing address
1 PRESTIGE PL STE 550, MIAMISBURG, OH 45342-6115
(937) 762-1310
(937) 522-8493

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
340195
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0355661
OH
01
H721940
MEDICARE
OH
Enumeration date
08/06/2018
Last updated
01/13/2021
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