Beresford, Brandi

Beresford, Brandi is an individual health care provider with primary practice located at 425 E Foothill Blvd , Rialto CA 92376-5153. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Beresford, Brandi can be contacted via phone (909) 546-1050.

Contact Information

Primary practice address
425 E Foothill Blvd Rialto CA 92376-5153
Phone: (909) 546-1050
Fax: (909) 546-1061
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 21324 California

Profile Details

NPI number 1265780332
LBN Legal business name Beresford, Brandi
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2012
Last updated Nov 30th, 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 1265780332 NPPES
California MEDICAID 641677

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