Provider Demographics
NPI:1760875652
Name:STIFF, BRANDI FRAZANE (NP)
Entity Type:Individual
Prefix:DR
First Name:BRANDI
Middle Name:FRAZANE
Last Name:STIFF
Suffix:
Gender:F
Credentials:NP
Other - Prefix:DR
Other - First Name:BRANDI
Other - Middle Name:FRAZANE
Other - Last Name:STIFF
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:11032 QUAIL CREEK RD STE 220
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-6219
Mailing Address - Country:US
Mailing Address - Phone:405-888-5616
Mailing Address - Fax:
Practice Address - Street 1:11032 QUAIL CREEK RD STE 220
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-6219
Practice Address - Country:US
Practice Address - Phone:405-888-5616
Practice Address - Fax:888-818-0378
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-17
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV812429363LF0000X, 363LP0808X
TXAP127303363LF0000X, 363LP0808X
OK88546363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily