Provider Demographics
NPI:1679895577
Name:ARMIJO, BRANDIE BETH (DACM, BSN, LPN, LAC)
Entity Type:Individual
Prefix:DR
First Name:BRANDIE
Middle Name:BETH
Last Name:ARMIJO
Suffix:
Gender:F
Credentials:DACM, BSN, LPN, LAC
Other - Prefix:
Other - First Name:BRANDIE
Other - Middle Name:BETH
Other - Last Name:GARRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LVN, NREMTB,LAC MSOM
Mailing Address - Street 1:418 E DIAMOND AVE STE A
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20877-3018
Mailing Address - Country:US
Mailing Address - Phone:240-454-5077
Mailing Address - Fax:
Practice Address - Street 1:418 E DIAMOND AVE STE A
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-3018
Practice Address - Country:US
Practice Address - Phone:240-454-5077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-18
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI304127-031164W00000X
WI704-055171100000X
MDU01993171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No164W00000XNursing Service ProvidersLicensed Practical Nurse