Blossom, Brandi

Blossom, Brandi is an sole proprietor health care provider with primary practice located at 711 S Muskogee Ave , Tahlequah OK 74464-4717. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Blossom, Brandi can be contacted via phone (918) 207-0078.

Contact Information

Primary practice address
711 S Muskogee Ave Tahlequah OK 74464-4717
Phone: (918) 207-0078
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 0054037 Oklahoma

Profile Details

NPI number 1649784042
LBN Legal business name Blossom, Brandi
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 21st, 2017
Last updated Nov 21st, 2017 - about 7 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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