Provider Demographics
NPI:1639863749
Name:DUMONT, BRANDY N (RN BSN)
Entity Type:Individual
Prefix:
First Name:BRANDY
Middle Name:N
Last Name:DUMONT
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 CEDAR HILL LN
Mailing Address - Street 2:
Mailing Address - City:WEAVERVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28787-8633
Mailing Address - Country:US
Mailing Address - Phone:828-803-4807
Mailing Address - Fax:
Practice Address - Street 1:5 LIVINGSTON ST
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4407
Practice Address - Country:US
Practice Address - Phone:828-210-9347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC262493163WS0121X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0121XNursing Service ProvidersRegistered NursePlastic Surgery