BRANDY SULLIVAN BRANHAM FNP
Individual Provider (NPI-1)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1215677166- Provider Type
- Individual Provider (NPI-1)
- Credentials
- FNP
- Status
- Active
Contact & Location
- Address
- 1700 DECLARATION DR, INDEPENDENCE, KY, 410518441
- Phone
- (859) 898-1608
Specialties & Taxonomies
Nurse Practitioner, Family
Primary License: KY #3017539
Nurse Practitioner
License: KY #3017539
Nurse Practitioner, Family
License: OH #APRN.CNP.0030691
All Addresses
MAILING
PO BOX 932958
CLEVELAND, OH, 441930028