Anderson, Brandi Dawn
Anderson, Brandi Dawn is an individual health care provider with primary practice located at 310 Buttercup Dr , Mountain Home AR 72653-2921. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Anderson, Brandi Dawn can be contacted via phone (870) 508-7080.Contact Information
Primary practice address
310 Buttercup Dr
Mountain Home AR 72653-2921
Phone: (870) 508-7080
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 2011001819 | Missouri |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | A03275 ANP | Arkansas |
Profile Details
| NPI number | 1902038961 |
|---|---|
| LBN Legal business name | Anderson, Brandi Dawn |
| Credentials | Advanced Practice Nurse (APN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2009 |
| Last updated | May 12th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902038961 | NPPES |
| Arkansas | MEDICAID | 179911758 |
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