Provider Demographics
NPI:1619687761
Name:POSTRERO, BRANDIE L (APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:BRANDIE
Middle Name:L
Last Name:POSTRERO
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1518 CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:NICEVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32578-8795
Mailing Address - Country:US
Mailing Address - Phone:850-758-5092
Mailing Address - Fax:
Practice Address - Street 1:1518 CEDAR ST
Practice Address - Street 2:
Practice Address - City:NICEVILLE
Practice Address - State:FL
Practice Address - Zip Code:32578-8795
Practice Address - Country:US
Practice Address - Phone:850-758-5092
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-30
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLF11220516363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily