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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 3 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 1902038961 NPPES
Arkansas MEDICAID 179911758

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