Degruise, Brandi Borne

Degruise, Brandi Borne is an individual health care provider with primary practice located at 1022 Belanger St , Houma LA 70360-4412. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Degruise, Brandi Borne can be contacted via phone (985) 223-3132.

Contact Information

Primary practice address
1022 Belanger St Houma LA 70360-4412
Phone: (985) 223-3132
Fax: (985) 346-0836
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN102495-AP05149 Louisiana

Profile Details

NPI number 1447398789
LBN Legal business name Degruise, Brandi Borne
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2007
Last updated Sep 19th, 2022 - 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 1447398789 NPPES
Louisiana MEDICAID 1004154

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