Provider Demographics
NPI:1770460107
Name:NANNEY, BRANDEE LEE
Entity type:Individual
Prefix:
First Name:BRANDEE
Middle Name:LEE
Last Name:NANNEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 KEYSTONE BLVD
Mailing Address - Street 2:
Mailing Address - City:PATTERSON
Mailing Address - State:CA
Mailing Address - Zip Code:95363-8861
Mailing Address - Country:US
Mailing Address - Phone:209-894-7700
Mailing Address - Fax:
Practice Address - Street 1:624 W LAS PALMAS AVE
Practice Address - Street 2:
Practice Address - City:PATTERSON
Practice Address - State:CA
Practice Address - Zip Code:95363-2632
Practice Address - Country:US
Practice Address - Phone:209-892-4730
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool