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REBECCA BRANTLEY FNP-BC

>> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1831617042

Individual Registrant:
 REBECCA  BRANTLEY FNP-BC
Gender: F
Sole Proprietor

Location and contact information for practice:
2151 W SPRING ST  MONROE, GA 30655-3202 US
Tel: 770-267-8461  Fax: --

Contact information for business:
225 LOST TREE TRL  ATHENS, GA 30605-3460 US
Tel: --  Fax: --

Registration Information:
NPI: 1831617042
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N163W00000XNursing Service Providers
Registered Nurse
NC317694
N363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
GARN207146
Y363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
NC5012431

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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