Provider Demographics
NPI:1205612538
Name:LOWRY, BRANDY MARIE (HOME HEALTH AIDE)
Entity type:Individual
Prefix:
First Name:BRANDY
Middle Name:MARIE
Last Name:LOWRY
Suffix:
Gender:F
Credentials:HOME HEALTH AIDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 CLEMENT ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44306-2917
Mailing Address - Country:US
Mailing Address - Phone:330-201-7009
Mailing Address - Fax:
Practice Address - Street 1:924 KELLY AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44306-2816
Practice Address - Country:US
Practice Address - Phone:330-201-7009
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-04
Last Update Date:2023-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant