Lookup NPI Numbers from the NPI Registry
NPI Profile for BRANDY BLUE in OWENSBORO, KY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Gerontology |
163WG0600X |
| NPI # | 1225650542 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 05/08/2020 | |
| Last updated | 04/02/2026 - About 2 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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BRANDY BLUE
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BRANDY BLUE