Healthcare Provider Details

I. General information

NPI: 1184331670
Provider Name (Legal Business Name): BRANDI LYNN SIGGERS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2022
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

568 NOSBEN FRK
BELFRY KY
41514-7810
US

IV. Provider business mailing address

568 NOSBEN FRK
BELFRY KY
41514-7810
US

V. Phone/Fax

Practice location:
  • Phone: 606-331-0139
  • Fax:
Mailing address:
  • Phone: 606-331-0139
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3018893
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1115257
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: