Provider Demographics
NPI:1265924302
Name:GRAF, BRANDI (ARNP)
Entity type:Individual
Prefix:
First Name:BRANDI
Middle Name:
Last Name:GRAF
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10441 QUALITY DR STE 300
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34609-9650
Mailing Address - Country:US
Mailing Address - Phone:352-683-3136
Mailing Address - Fax:888-920-8119
Practice Address - Street 1:10441 QUALITY DR STE 300
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34609-9650
Practice Address - Country:US
Practice Address - Phone:352-683-3136
Practice Address - Fax:888-920-8119
Is Sole Proprietor?:No
Enumeration Date:2018-06-05
Last Update Date:2018-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9415730363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner