Provider Demographics
NPI:1811537681
Name:ORLOWSKI, BRANDI MARIE
Entity Type:Individual
Prefix:
First Name:BRANDI
Middle Name:MARIE
Last Name:ORLOWSKI
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 1:1218 N FLORENCE AVE STE B
Mailing Address - Street 2:
Mailing Address - City:CLAREMORE
Mailing Address - State:OK
Mailing Address - Zip Code:74017-3755
Mailing Address - Country:US
Mailing Address - Phone:918-283-4388
Mailing Address - Fax:
Practice Address - Street 1:1218 N FLORENCE AVE STE B
Practice Address - Street 2:
Practice Address - City:CLAREMORE
Practice Address - State:OK
Practice Address - Zip Code:74017-3755
Practice Address - Country:US
Practice Address - Phone:918-283-4388
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-09
Last Update Date:2020-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator