MR. DARYL ADRIAN BRANDON NPI 1376734921

NPI Information

NPI: 1376734921
Provider Name: MR. DARYL ADRIAN BRANDON
Classification: Licensed Practical Nurse - 164W00000X
Entity Type: Individual
Address:
522 MANILA AVENUE
APT 1
JERSEY CITY, NJ
ZIP 07302
Phone: (201) 993-9654
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MR. Daryl Adrian Brandon is a licensed practical nurse in Jersey City, NJ. The provider is an individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. MR. Daryl Adrian Brandon NPI is 1376734921. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

522 MANILA AVENUE
APT 1
JERSEY CITY, NJ
ZIP 07302
Phone: (201) 993-9654

The enumeration date for this NPI number is 8/8/2007 and was last updated on 2/23/2010.

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	164W00000X	Licensed Practical Nurse		146808	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	02229023	MEDICAID	NEW YORK

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: 11/14/2023

NPI Synchronization or Removal

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