Provider Demographics
NPI:1316583248
Name:SCHUMACHER, BRANDY RENE (BS)
Entity Type:Individual
Prefix:MRS
First Name:BRANDY
Middle Name:RENE
Last Name:SCHUMACHER
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:BRANDY
Other - Middle Name:RENE
Other - Last Name:GUTIERREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS
Mailing Address - Street 1:5118 N HIGHLAND ST
Mailing Address - Street 2:
Mailing Address - City:RUSTON
Mailing Address - State:WA
Mailing Address - Zip Code:98407-3207
Mailing Address - Country:US
Mailing Address - Phone:253-468-9958
Mailing Address - Fax:
Practice Address - Street 1:3773 MARTIN WAY E STE 107
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98506-4400
Practice Address - Country:US
Practice Address - Phone:360-688-7312
Practice Address - Fax:360-688-7318
Is Sole Proprietor?:No
Enumeration Date:2019-11-26
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA171M00000XOtherFACILITATOR