NPI 1003276767

Brandy Martin

Practitioner Licensed Practical Nurse Dayton, OH

Practice location

Address: 3692 Hermosa Dr, Dayton, OH 45416-1118
Phone: (937) 567-2456

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 148351 (OH)

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Registry record

NPI: 1003276767
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Feb 2016
Record last updated: 24 Feb 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.