Provider Demographics
NPI:1609386630
Name:ASKINS, BRANDY (FNP)
Entity Type:Individual
Prefix:
First Name:BRANDY
Middle Name:
Last Name:ASKINS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:676 GRAVOIS BLUFFS BLVD STE A1
Mailing Address - Street 2:
Mailing Address - City:FENTON
Mailing Address - State:MO
Mailing Address - Zip Code:63026-7742
Mailing Address - Country:US
Mailing Address - Phone:636-492-2245
Mailing Address - Fax:314-492-2306
Practice Address - Street 1:676 GRAVOIS BLUFFS BLVD STE A1
Practice Address - Street 2:
Practice Address - City:FENTON
Practice Address - State:MO
Practice Address - Zip Code:63026-7742
Practice Address - Country:US
Practice Address - Phone:636-492-2245
Practice Address - Fax:314-492-2306
Is Sole Proprietor?:No
Enumeration Date:2017-10-04
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2017033353363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily