Provider Demographics
NPI:1699439612
Name:RICHARDS, BRANDI NICHOLE (RN, BSN)
Entity type:Individual
Prefix:MS
First Name:BRANDI
Middle Name:NICHOLE
Last Name:RICHARDS
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3792 MANCE NEWTON RD
Mailing Address - Street 2:
Mailing Address - City:MIDLAND CITY
Mailing Address - State:AL
Mailing Address - Zip Code:36350-6213
Mailing Address - Country:US
Mailing Address - Phone:334-983-2088
Mailing Address - Fax:
Practice Address - Street 1:3792 MANCE NEWTON RD
Practice Address - Street 2:
Practice Address - City:MIDLAND CITY
Practice Address - State:AL
Practice Address - Zip Code:36350-6213
Practice Address - Country:US
Practice Address - Phone:334-983-2088
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-26
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-139902163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse