Provider Demographics
NPI:1154712842
Name:BRANTLEY, ARIAN M (NP)
Entity type:Individual
Prefix:MS
First Name:ARIAN
Middle Name:M
Last Name:BRANTLEY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Mailing Address - Street 1:231 GRAEFE ST
Mailing Address - Street 2:
Mailing Address - City:GRIFFIN
Mailing Address - State:GA
Mailing Address - Zip Code:30224-4222
Mailing Address - Country:US
Mailing Address - Phone:770-227-1587
Mailing Address - Fax:770-227-1485
Practice Address - Street 1:231 GRAEFE ST
Practice Address - Street 2:
Practice Address - City:GRIFFIN
Practice Address - State:GA
Practice Address - Zip Code:30224-4222
Practice Address - Country:US
Practice Address - Phone:770-227-1587
Practice Address - Fax:770-227-1485
Is Sole Proprietor?:No
Enumeration Date:2015-02-17
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GARN201303363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health