Provider Demographics
NPI:1467340653
Name:PUTNAM, BRANDI N
Entity type:Individual
Prefix:
First Name:BRANDI
Middle Name:N
Last Name:PUTNAM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:139 3RD ST NW APT 6
Mailing Address - Street 2:
Mailing Address - City:VALLEY CITY
Mailing Address - State:ND
Mailing Address - Zip Code:58072-2948
Mailing Address - Country:US
Mailing Address - Phone:701-415-5691
Mailing Address - Fax:
Practice Address - Street 1:139 3RD ST NW APT 6
Practice Address - Street 2:
Practice Address - City:VALLEY CITY
Practice Address - State:ND
Practice Address - Zip Code:58072-2948
Practice Address - Country:US
Practice Address - Phone:701-415-5691
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-25
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant