Provider Demographics
NPI:1568716140
Name:HILL, BRANDY
Entity Type:Individual
Prefix:
First Name:BRANDY
Middle Name:
Last Name:HILL
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 1:450 TURNEY RD
Mailing Address - Street 2:1106
Mailing Address - City:BEDFORD
Mailing Address - State:OH
Mailing Address - Zip Code:44146-3360
Mailing Address - Country:US
Mailing Address - Phone:440-227-8680
Mailing Address - Fax:
Practice Address - Street 1:450 TURNEY RD
Practice Address - Street 2:1106
Practice Address - City:BEDFORD
Practice Address - State:OH
Practice Address - Zip Code:44146-3360
Practice Address - Country:US
Practice Address - Phone:440-227-8680
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-02
Last Update Date:2014-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.396558163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse