Provider Demographics
NPI:1306497334
Name:LEVIEN, BRANDY LYNN (RN)
Entity type:Individual
Prefix:
First Name:BRANDY
Middle Name:LYNN
Last Name:LEVIEN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:285 FM 629
Mailing Address - Street 2:
Mailing Address - City:WOODSBORO
Mailing Address - State:TX
Mailing Address - Zip Code:78393-3535
Mailing Address - Country:US
Mailing Address - Phone:361-815-2593
Mailing Address - Fax:
Practice Address - Street 1:285 FM 629
Practice Address - Street 2:
Practice Address - City:WOODSBORO
Practice Address - State:TX
Practice Address - Zip Code:78393-3535
Practice Address - Country:US
Practice Address - Phone:361-815-2593
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-20
Last Update Date:2019-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX901269163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse