Bordelon, Brandi Elizabeth

Bordelon, Brandi Elizabeth is an individual health care provider with primary practice located at 192 Bastille Ln Ste 200 , Ruston LA 71270-7150. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bordelon, Brandi Elizabeth can be contacted via phone (318) 232-1500.

Contact Information

Primary practice address
192 Bastille Ln Ste 200 Ruston LA 71270-7150
Phone: (318) 232-1500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 206789 Louisiana

Profile Details

NPI number 1013561166
LBN Legal business name Bordelon, Brandi Elizabeth
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2019
Last updated Jul 27th, 2019 - about 6 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 1013561166 NPPES
Other 01071992 DOC/ICE

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