Provider Demographics
NPI:1952035800
Name:REYNOLDS, BRANDI D
Entity Type:Individual
Prefix:MRS
First Name:BRANDI
Middle Name:D
Last Name:REYNOLDS
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 1:16095 KEDIGH HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:NEWCOMERSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:43832-8949
Mailing Address - Country:US
Mailing Address - Phone:330-691-0802
Mailing Address - Fax:
Practice Address - Street 1:16095 KEDIGH HOLLOW RD
Practice Address - Street 2:
Practice Address - City:NEWCOMERSTOWN
Practice Address - State:OH
Practice Address - Zip Code:43832-8949
Practice Address - Country:US
Practice Address - Phone:330-691-0802
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-14
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide