Healthcare Provider Details

I. General information

NPI: 1912840877
Provider Name (Legal Business Name): BRANDY MYERS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

229 DEER CREEK CT
CHURCH HILL MD
21623-1436
US

IV. Provider business mailing address

229 DEER CREEK CT
CHURCH HILL MD
21623-1436
US

V. Phone/Fax

Practice location:
  • Phone: 443-480-1055
  • Fax:
Mailing address:
  • Phone: 443-480-1055
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: