Individual
BRANDIA NICOLE CLAVIJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
180 LUCKY MAN WAY, HARRODSBURG, KY 40330-8978
(859) 734-2953
(859) 734-4670
Mailing address
180 LUCKY MAN WAY, HARRODSBURG, KY 40330-8978
(859) 734-2953
(859) 734-4670
Taxonomy
Speciality
Code
Description
License number
State
364SL0600X
Long-Term Care Clinical Nurse Specialist
Primary
1164157
KY
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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