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NPI Code Detail

MEDICARE: MISS BRANDI D ROLAND NP

MEDICARE: MISS BRANDI D ROLAND NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP2300XPrimary Care Nurse PractitionerAPRN.CNP.022102OH

General Provider Information

NPI Number : 1235686338
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS BRANDI D ROLAND NP
Provider Business Mailing Address
First Line : 6242 STOVER AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45237-4826
Country : US
Telephone Number : 513-238-2320
Fax Number :
Provider Business Practice Location Address
First Line : 3515 WERK RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45248-6229
Country : US
Telephone Number : 513-347-0639
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2016
Last Update Date : 10/04/2022

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