Healthcare Provider Details

I. General information

NPI: 1588589840
Provider Name (Legal Business Name): BRANDEE DODD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

313 NORLAND KNOLL DR
STEPHENSON VA
22656-2127
US

IV. Provider business mailing address

313 NORLAND KNOLL DR
STEPHENSON VA
22656-2127
US

V. Phone/Fax

Practice location:
  • Phone: 814-441-3473
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number0001314482
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: