Provider Demographics
NPI:1750798161
Name:PRICE, BRANDY (RN BSN)
Entity type:Individual
Prefix:
First Name:BRANDY
Middle Name:
Last Name:PRICE
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:BRANDY
Other - Middle Name:
Other - Last Name:NANCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:438 RUFFIN DR
Mailing Address - Street 2:
Mailing Address - City:GALLOWAY
Mailing Address - State:OH
Mailing Address - Zip Code:43119-8288
Mailing Address - Country:US
Mailing Address - Phone:614-517-9454
Mailing Address - Fax:
Practice Address - Street 1:438 RUFFIN DR
Practice Address - Street 2:
Practice Address - City:GALLOWAY
Practice Address - State:OH
Practice Address - Zip Code:43119-8288
Practice Address - Country:US
Practice Address - Phone:614-517-9454
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-17
Last Update Date:2014-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.338433163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse