Individual
BRANDI BROCIOUS
Active
Individual
BRANDI BROCIOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
630374
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
383387
NY
363LN0000X
Neonatal Nurse Practitioner
383387
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
383387
NY
Other
Enumeration date
05/21/2022
Last updated
07/22/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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