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NPI 1124953997

NPI 1124953997 : BRANDI LYNN MEYER RN, CDCES : SHELBYVILLE, MI

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General NPI Number Information
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    NPI Number           |    1124953997
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    Entity Type          |    Individual 
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    Provider Name        |    BRANDI LYNN MEYER RN, CDCES
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/15/2026
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    Last Update Date     |    06/15/2026
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Provider Practice Location Address
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    Address Line         |    2880 MISSION DR 
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    City                 |    SHELBYVILLE
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    State                |    MI
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    Zip                  |    49344-9580
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    Country              |    US
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    Telephone            |    269-397-1760
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    Fax                  |    269-397-1764
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Provider Business Mailing Address
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    Address Line         |    2880 MISSION DR 
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    City                 |    SHELBYVILLE
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    State                |    MI
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    Zip                  |    49344-9580
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    Country              |    US
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    Telephone            |    269-397-1760
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    Fax                  |    269-397-1764
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    163WD0400X
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    Taxonomy Name        |    Diabetes Educator Registered Nurse
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    License Number       |    4704228914
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    License Number State |    MI
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