Healthcare Provider Details

I. General information

NPI: 1932603495
Provider Name (Legal Business Name): BRANDI NORRELLE RICHARDSON MSN, WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRANDI WALKER

II. Dates (important events)

Enumeration Date: 03/20/2018
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

375 DIXMYTH AVE STE 0.8672
CINCINNATI OH
45220-2475
US

IV. Provider business mailing address

1431 LAUREL PARK DR
CINCINNATI OH
45214-2644
US

V. Phone/Fax

Practice location:
  • Phone: 513-862-6200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN.CNP.020357
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAPRN.CNP.020357
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: