Caywood, Brandy

Caywood, Brandy is an individual health care provider with primary practice located at 3 Doctors Park , Gibson City IL 60936-2000. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Caywood, Brandy can be contacted via phone (217) 784-4030.

Contact Information

Primary practice address
3 Doctors Park Gibson City IL 60936-2000
Phone: (217) 784-4030
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209013017 Illinois

Profile Details

NPI number 1902282650
LBN Legal business name Caywood, Brandy
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2015
Last updated Aug 11th, 2020 - about 6 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 1902282650 NPPES
Illinois MEDICAID 370647938022

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