BRANDY RENEE SELF FNP-C NPI 1205401536

NPI Information

NPI: 1205401536
Provider Name: BRANDY RENEE SELF, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
2600 TOWER DR STE 304
MONROE, LA
ZIP 71201
Phone: (319) 966-6320
Get Directions

Brandy Renee Self, FNP-C is a family nurse practitioner in Monroe, LA. Brandy Renee Self, FNP-C NPI is 1205401536. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2600 TOWER DR STE 304
MONROE, LA
ZIP 71201-783
Phone: (319) 966-6320
Fax: (318) 966-6321

The enumeration date for this NPI number is 5/20/2021 and was last updated on 6/30/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		214453	LOUISIANA	No
2	363LF0000X	Nurse Practitioner	Family	214453	LOUISIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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