Provider Demographics
NPI:1225844079
Name:PACE, BRANDI (CNM)
Entity type:Individual
Prefix:
First Name:BRANDI
Middle Name:
Last Name:PACE
Suffix:
Gender:F
Credentials:CNM
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Mailing Address - Street 1:5092 JONATHAN WAY
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41051-7305
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3219 CLIFTON AVE STE 210
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45220-3041
Practice Address - Country:US
Practice Address - Phone:513-751-5900
Practice Address - Fax:513-487-4590
Is Sole Proprietor?:No
Enumeration Date:2024-12-06
Last Update Date:2025-01-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNM.0019654367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife