Provider Demographics
NPI:1831613553
Name:WASHINGTON, BRANDI NUNEZ (FNP)
Entity type:Individual
Prefix:
First Name:BRANDI
Middle Name:NUNEZ
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 MOSS ST
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70501-2125
Mailing Address - Country:US
Mailing Address - Phone:337-706-7400
Mailing Address - Fax:337-706-7444
Practice Address - Street 1:2301 MOSS ST
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70501-2125
Practice Address - Country:US
Practice Address - Phone:337-706-7400
Practice Address - Fax:337-706-7444
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-03
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP09491363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty