Most Relevant Information
Provider Data
| NPI Number: | 1003362658 |
| Provider Name: | BRANDI DICKEY APRN, CNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 96474 |
Most Important Dates
| Enumeration Date: | 09/01/2016 |
| Last Updated: | 09/30/2016 |
Provider Practice Location
825 NE 10TH ST
SUITE 2B
OKLAHOMA CITY
OK
731045417
Practice Location Phone/Fax
| Phone: | 4052717255 |
| Fax: |
Provider Mailing Location
17312 SHADOW HAWK LANE
EDMOND
OK
73012
Provider Mailing Phone/Fax
| Phone: | 4054267417 |
| Fax: |