National Provider Identifier
Brandy Crocker
Brandy Crocker is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Geneva, NY and a listed phone number of (315) 398-9589.
Profile Overview
- NPI
- 1316568058
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- May 05, 2020
- Last Updated
- May 05, 2020
Practice Location
- 14 Middle St
- Geneva, NY 14456-1810
Phone: (315) 398-9589
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1316568058
- Entity Type
- Individual
- Last Name
- Crocker
- First Name
- Brandy
- Mailing Street Address
- 14 Middle St
- Mailing City
- Geneva
- Mailing State
- NY
- Mailing ZIP Code
- 14456-1810
- Mailing Country
- US
- Mailing Phone
- (315) 398-9589
- Practice Street Address
- 14 Middle St
- Practice City
- Geneva
- Practice State
- NY
- Practice ZIP Code
- 14456-1810
- Practice Country
- US
- Practice Phone
- (315) 398-9589
- Enumeration Date
- May 05, 2020
- Last Updated
- May 05, 2020
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- May 05, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)