Bandy, Brittany

Bandy, Brittany is an individual health care provider with primary practice located at 490 Centre Lake Dr Ne Ste 200B , Palm Bay FL 32907-1189. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bandy, Brittany can be contacted via phone (321) 784-8211.

Contact Information

Primary practice address
490 Centre Lake Dr Ne Ste 200B Palm Bay FL 32907-1189
Phone: (321) 784-8211
Fax: (321) 394-9425
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9115766 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 310589 Louisiana

Profile Details

NPI number 1871062869
LBN Legal business name Bandy, Brittany
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2018
Last updated Mar 11th, 2022 - about 2 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 1871062869 NPPES
Louisiana Other 310589 PHYSICIAN ASSISTANT STATE LICENSE
Louisiana Other PA9115766 PHYSICIAN ASSISTANT STATE LICENSE
Louisiana Other 1152714 PHYSICIAN ASSISTANT STATE LICENSE

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