Provider Demographics
NPI:1407585847
Name:BABIN, BRANDY CHANTELLE (APRN-C)
Entity Type:Individual
Prefix:
First Name:BRANDY
Middle Name:CHANTELLE
Last Name:BABIN
Suffix:
Gender:F
Credentials:APRN-C
Other - Prefix:
Other - First Name:BRANDY
Other - Middle Name:CHANTELLE
Other - Last Name:ROBBINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN-C
Mailing Address - Street 1:1731 OLD SUMMERWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34232-2940
Mailing Address - Country:US
Mailing Address - Phone:941-526-6687
Mailing Address - Fax:
Practice Address - Street 1:1731 OLD SUMMERWOOD BLVD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34232-2940
Practice Address - Country:US
Practice Address - Phone:941-526-6687
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-09
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11020826363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health