Provider Demographics
NPI:1134853278
Name:CARPENTER, BRANDI (FNP-C)
Entity type:Individual
Prefix:
First Name:BRANDI
Middle Name:
Last Name:CARPENTER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:273 SKIDMORE LN
Mailing Address - Street 2:
Mailing Address - City:SUTTON
Mailing Address - State:WV
Mailing Address - Zip Code:26601-9272
Mailing Address - Country:US
Mailing Address - Phone:304-765-4400
Mailing Address - Fax:304-765-0354
Practice Address - Street 1:273 SKIDMORE LN
Practice Address - Street 2:
Practice Address - City:SUTTON
Practice Address - State:WV
Practice Address - Zip Code:26601-9272
Practice Address - Country:US
Practice Address - Phone:304-765-4400
Practice Address - Fax:304-765-0354
Is Sole Proprietor?:No
Enumeration Date:2022-07-14
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV98162163W00000X
WV113814363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse