Brantley, Virginia Lynn

Brantley, Virginia Lynn is an individual health care provider with primary practice located at 2400 S.R. 415 , Sanford FL 32771-6012. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Community Health, which is considered as her primary health care specialty. Brantley, Virginia Lynn can be contacted via phone (407) 322-8645.

Contact Information

Primary practice address
2400 S.R. 415 Sanford FL 32771-6012
Phone: (407) 322-8645
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Community Health 363LC1500X 1183862 Florida

Profile Details

NPI number 1801890132
LBN Legal business name Brantley, Virginia Lynn
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Jan 19th, 2012 - about 12 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 1801890132 NPPES
Florida MEDICAID 305641400
Florida Other 192242

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