Provider Demographics
NPI:1437444114
Name:COREY, BRANDI LYNN (LM, CPM, RPT)
Entity Type:Individual
Prefix:MRS
First Name:BRANDI
Middle Name:LYNN
Last Name:COREY
Suffix:
Gender:F
Credentials:LM, CPM, RPT
Other - Prefix:
Other - First Name:BRANDI
Other - Middle Name:LYNN
Other - Last Name:STONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LM, CPM, RPT
Mailing Address - Street 1:3309 S YALE AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-8011
Mailing Address - Country:US
Mailing Address - Phone:918-344-0945
Mailing Address - Fax:918-856-3759
Practice Address - Street 1:3309 S YALE AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-8011
Practice Address - Country:US
Practice Address - Phone:918-344-0945
Practice Address - Fax:918-856-3759
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-10
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKOKMIDW0018176B00000X
13110022175M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No175M00000XOther Service ProvidersMidwife, Lay