Individual
MRS. BRANDI SHARP RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-138777
AL
363LA2200X
Adult Health Nurse Practitioner
Primary
1-138777
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-138777
MEDICAL LICENSE
AL
Enumeration date
12/15/2016
Last updated
06/30/2022
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