Provider Demographics
NPI:1932502523
Name:KIRCHER, BRANDIE CANELLA (APRN)
Entity Type:Individual
Prefix:
First Name:BRANDIE
Middle Name:CANELLA
Last Name:KIRCHER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1332 MINUET ST
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-6417
Mailing Address - Country:US
Mailing Address - Phone:702-677-1945
Mailing Address - Fax:
Practice Address - Street 1:2401 W HORIZON RIDGE PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-2706
Practice Address - Country:US
Practice Address - Phone:702-385-7001
Practice Address - Fax:702-385-7002
Is Sole Proprietor?:No
Enumeration Date:2014-09-26
Last Update Date:2015-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPRN001760363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily