Healthcare Provider Details

I. General information

NPI: 1306768494
Provider Name (Legal Business Name): BRANDYSS HOPE ROBERTS FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

251 N 4TH ST FL 1
OAKLAND MD
21550-1375
US

IV. Provider business mailing address

37 JAMES LN
FRANKLIN WV
26807-8066
US

V. Phone/Fax

Practice location:
  • Phone: 304-244-9599
  • Fax:
Mailing address:
  • Phone: 304-244-9599
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number107858
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: