Healthcare Provider Details

I. General information

NPI: 1952842734
Provider Name (Legal Business Name): BRANDI FISHER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2017
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

916 N ELM ST
SEILING OK
73663-6345
US

IV. Provider business mailing address

41954 S COUNTY ROAD 214
MOORELAND OK
73852-5806
US

V. Phone/Fax

Practice location:
  • Phone: 580-922-0635
  • Fax:
Mailing address:
  • Phone: 580-922-0635
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR0106352
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: