Provider Demographics
NPI:1275814469
Name:THOMAS, BRANDY LEE (RN, CNM, MSN)
Entity type:Individual
Prefix:MRS
First Name:BRANDY
Middle Name:LEE
Last Name:THOMAS
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Gender:F
Credentials:RN, CNM, MSN
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Mailing Address - Street 1:PO BOX 818018
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44181-8018
Mailing Address - Country:US
Mailing Address - Phone:561-300-2410
Mailing Address - Fax:561-953-4150
Practice Address - Street 1:5323 4TH AVENUE CIR E
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34208-5623
Practice Address - Country:US
Practice Address - Phone:941-745-5115
Practice Address - Fax:941-750-6543
Is Sole Proprietor?:No
Enumeration Date:2011-09-01
Last Update Date:2024-12-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLARNP9235061367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife