Provider Demographics
NPI:1164166823
Name:BROWNING, BRANDI M (APRN)
Entity Type:Individual
Prefix:
First Name:BRANDI
Middle Name:M
Last Name:BROWNING
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1145 W LEXINGTON AVE STE C
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:KY
Mailing Address - Zip Code:40391-1290
Mailing Address - Country:US
Mailing Address - Phone:859-385-4093
Mailing Address - Fax:859-355-4058
Practice Address - Street 1:112 W HIGH ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40507-1826
Practice Address - Country:US
Practice Address - Phone:859-523-3009
Practice Address - Fax:859-523-5007
Is Sole Proprietor?:No
Enumeration Date:2022-04-27
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3017630363LF0000X, 363LP0808X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100814880Medicaid