Individual
MS. BRANDIE DANIELLE BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1850 BLUEGRASS AVE, ANESTHESIA DEPARTMENT, LOUISVILLE, KY 40215-1161
(502) 361-6617
(502) 361-6637
Mailing address
100 E LIBERTY ST STE 800, LOUISVILLE, KY 40202-1428
(502) 361-6617
(502) 361-6637
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3006323
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200975010A
—
IN
05
—
7100109380
—
KY
Enumeration date
01/20/2010
Last updated
04/18/2018
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