Individual
BRANDY ANN CHISHOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2535 MAPLECREST RD STE 16, BETTENDORF, IA 52722-2799
(309) 281-3227
Mailing address
823 DANA CT, CLINTON, IA 52732-9474
(563) 219-0837
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
H115624
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H115624
IOWA BOARD OF NURSING
IA
Enumeration date
01/09/2019
Last updated
06/22/2021
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