Brandon, Nadiyah L

Brandon, Nadiyah L is an sole proprietor health care provider with primary practice located at 1841 Arrow Point Dr , Saint Louis MO 63138. She recently has 12 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other, Agencies / Nursing Care, Agencies / In Home Supportive Care, Nursing Service Related Providers / Chore Provider, Nursing Service Related Providers / Personal Care Attendant, Nursing Service Related Providers / Home Health Aide, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Driver, Nursing Service Related Providers / Homemaker, Nursing Service Related Providers / Nurse's Aide, Agencies / Case Management. Agencies / Case Management is her primary health care specialty. Brandon, Nadiyah L can be contacted via phone (314) 708-9822.

Contact Information

Primary practice address
1841 Arrow Point Dr Saint Louis MO 63138
Phone: (314) 708-9822
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other 246Z00000X
Agencies / Nursing Care 251J00000X 300688782 Georgia
Agencies / In Home Supportive Care 253Z00000X 3000688782 Georgia
Nursing Service Related Providers / Chore Provider 372500000X
Nursing Service Related Providers / Personal Care Attendant 3747P1801X
Nursing Service Related Providers / Home Health Aide 374U00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X 3000688782 Georgia
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X 105389953 Missouri
Other Service Providers / Driver 172A00000X
Nursing Service Related Providers / Homemaker 376J00000X
Nursing Service Related Providers / Nurse's Aide 376K00000X
Agencies / Case Management 251B00000X 3000688782 Missouri

Profile Details

NPI number 1053899153
LBN Legal business name Brandon, Nadiyah L
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2018
Last updated May 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053899153 NPPES
Washington Other 150249 SUPPLIER
Washington Other NBRANDON35 SUPPLIER
Washington Other 14645636 SUPPLIER
Washington MEDICAID DM3700 SUPPLIER
Washington Other PMOD10414 SUPPLIER

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