Provider Demographics
NPI:1295349306
Name:MULRYAN, BRANDI NICOLE (APRN/WHNP-BC)
Entity type:Individual
Prefix:
First Name:BRANDI
Middle Name:NICOLE
Last Name:MULRYAN
Suffix:
Gender:F
Credentials:APRN/WHNP-BC
Other - Prefix:
Other - First Name:BRANDI
Other - Middle Name:NICOLE
Other - Last Name:COON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN/WHNP-BC
Mailing Address - Street 1:10707 W 87TH ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66214-1652
Mailing Address - Country:US
Mailing Address - Phone:913-262-3000
Mailing Address - Fax:913-262-3002
Practice Address - Street 1:10707 W 87TH ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66214-1652
Practice Address - Country:US
Practice Address - Phone:913-262-3000
Practice Address - Fax:913-262-3002
Is Sole Proprietor?:No
Enumeration Date:2020-09-04
Last Update Date:2020-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-79667-082363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health