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MRS. BRANDY NICHOLE NISSLEY LPN
>> Licensed Practical Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1720259500
Individual Registrant:MRS. BRANDY NICHOLE NISSLEY LPN
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
5 E WASHINGTON ST DANVILLE, OH 43014-0385 US
Tel: 740-398-2520 Fax: --
Tel: 740-398-2520 Fax: --
Contact information for business:
PO BOX 385 5 E WASHINGTON ST DANVILLE, OH 43014-0385 US
Tel: 740-398-2520 Fax: --
Tel: 740-398-2520 Fax: --
Registration Information:
NPI: 1720259500
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 164W00000X | Nursing Service Providers Licensed Practical Nurse | OH | PN120870 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
