Organization
BRANTLEY HEALTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS J BRANTLEY SR. ARNP (PROVIDER/OWNER)
(727) 804-8193
Entity
Organization
Contact information
Practice address
489 N TYNDALL PKWY, PANAMA CITY, FL 32404-6126
(850) 866-7711
(850) 387-2776
Mailing address
5524 MARS HILL LN, PANAMA CITY, FL 32404-4327
(850) 896-2742
(850) 387-2776
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/23/2024
Last updated
01/29/2025
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