Individual
VIRGINIA LYNN BRANTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2400 S.R. 415, SANFORD, FL 32771-6012
(407) 322-8645
Mailing address
2400 STATE ROAD 415, SANFORD, FL 32771-6012
(407) 322-8645
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
Primary
1183862
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
192242
HEALTHEASE
FL
05
—
305641400
—
FL
Enumeration date
05/31/2005
Last updated
01/19/2012
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