Provider Demographics
NPI:1871263095
Name:SCOTT, BRANDY RENEE (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:BRANDY
Middle Name:RENEE
Last Name:SCOTT
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7789 30TH AVE
Mailing Address - Street 2:
Mailing Address - City:NORWAY
Mailing Address - State:IA
Mailing Address - Zip Code:52318-9518
Mailing Address - Country:US
Mailing Address - Phone:319-350-1970
Mailing Address - Fax:
Practice Address - Street 1:2815 EDGEWOOD RD SW
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52404-3258
Practice Address - Country:US
Practice Address - Phone:319-396-9097
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-18
Last Update Date:2021-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA163039363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily