Provider Demographics
NPI:1710287461
Name:STRACHAN, BRANDIE JO (LVN)
Entity Type:Individual
Prefix:MRS
First Name:BRANDIE
Middle Name:JO
Last Name:STRACHAN
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2925 PIRA DR
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95348-1773
Mailing Address - Country:US
Mailing Address - Phone:530-990-0440
Mailing Address - Fax:
Practice Address - Street 1:2925 PIRA DR
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95348-1773
Practice Address - Country:US
Practice Address - Phone:530-990-0440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-28
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN 242849164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse