Provider Demographics
NPI:1245746387
Name:SONES, BRANDI (LPN)
Entity type:Individual
Prefix:
First Name:BRANDI
Middle Name:
Last Name:SONES
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1395 SW OBEE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:DUNNELLON
Mailing Address - State:FL
Mailing Address - Zip Code:34431-2679
Mailing Address - Country:US
Mailing Address - Phone:352-282-2798
Mailing Address - Fax:
Practice Address - Street 1:1395 SW OBEE RIDGE RD
Practice Address - Street 2:
Practice Address - City:DUNNELLON
Practice Address - State:FL
Practice Address - Zip Code:34431-2679
Practice Address - Country:US
Practice Address - Phone:352-282-2798
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-27
Last Update Date:2017-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPN5223141164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPN5223141OtherNURSING LICENCES