Individual
MS. BRANDY LYNN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
768 ORANGEBURG CT, COLUMBUS, OH 43228-5736
(614) 638-2747
Mailing address
768 ORANGEBURG CT, COLUMBUS, OH 43228-5736
(614) 638-2747
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN. 116618
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2507031
—
OH
Enumeration date
04/14/2008
Last updated
04/14/2008
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