Provider Demographics
NPI:1669124814
Name:CLARY, BRANDY LYNN (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:BRANDY
Middle Name:LYNN
Last Name:CLARY
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6101 BLUE LAGOON DR STE 200
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-3168
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:305 NEW ALBANY PLZ
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-4653
Practice Address - Country:US
Practice Address - Phone:812-668-8133
Practice Address - Fax:877-772-5818
Is Sole Proprietor?:No
Enumeration Date:2022-01-19
Last Update Date:2025-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ297292363LF0000X
MO2020011332363LF0000X
IN71017176A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily