Provider Demographics
NPI:1194447243
Name:MULLINS, BRANDY (PCD(DONA))
Entity type:Individual
Prefix:
First Name:BRANDY
Middle Name:
Last Name:MULLINS
Suffix:
Gender:F
Credentials:PCD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3972 TREEBRANCH CIR
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29429-5705
Mailing Address - Country:US
Mailing Address - Phone:859-537-0235
Mailing Address - Fax:
Practice Address - Street 1:3972 TREEBRANCH CIR
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29429-5705
Practice Address - Country:US
Practice Address - Phone:859-537-0235
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-15
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC14634374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula