Most Relevant Information
Provider Data
| NPI Number: | 1003481300 |
| Provider Name: | BRANDY OAKS FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | APN.0994591-NP |
Most Important Dates
| Enumeration Date: | 05/20/2021 |
| Last Updated: | 05/20/2021 |
Provider Practice Location
111 6TH ST
HUGO
CO
808212002
Practice Location Phone/Fax
| Phone: | 9702335189 |
| Fax: |
Provider Mailing Location
6860 OLD HOSPITAL ST APT B
COLORADO SPRINGS
CO
809027308
Provider Mailing Phone/Fax
| Phone: | 4054967526 |
| Fax: |