Provider Demographics
NPI:1508153248
Name:MEUNIER, BRANDY LEE (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:BRANDY
Middle Name:LEE
Last Name:MEUNIER
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:BRANDY
Other - Middle Name:LEE
Other - Last Name:SILVIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP-C
Mailing Address - Street 1:55 CINEMA BLVD
Mailing Address - Street 2:
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453-3290
Mailing Address - Country:US
Mailing Address - Phone:978-401-3100
Mailing Address - Fax:
Practice Address - Street 1:55 CINEMA BLVD
Practice Address - Street 2:
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453-3290
Practice Address - Country:US
Practice Address - Phone:978-401-3100
Practice Address - Fax:978-401-3116
Is Sole Proprietor?:No
Enumeration Date:2011-07-01
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA234331363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner