Lane, Brandi Lynn

Lane, Brandi Lynn is an sole proprietor health care provider with primary practice located at 3394 N Futrall Dr Ste 2 , Fayetteville AR 72703-3937. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Lane, Brandi Lynn can be contacted via phone (918) 527-4824.

Contact Information

Primary practice address
3394 N Futrall Dr Ste 2 Fayetteville AR 72703-3937
Phone: (918) 527-4824
Fax: (866) 635-3634
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 0085276 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X C002958 Arkansas

Profile Details

NPI number 1194901058
LBN Legal business name Lane, Brandi Lynn
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2008
Last updated Nov 30th, 2015 - about 11 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 1194901058 NPPES
Oklahoma MEDICAID 200130410A

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