MEDICARE: MRS. BRANDI LYNN COREY L.M., C.P.M., R.P.T.

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
1	176B00000X	Midwife	OKMIDW0018	OK

General Provider Information

NPI Number	:	1437444114
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BRANDI LYNN COREY L.M., C.P.M., R.P.T.

Provider Business Mailing Address
First Line	:	3309 S YALE AVE
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74135-8011
Country	:	US
Telephone Number	:	918-344-0945
Fax Number	:	918-856-3759

Provider Business Practice Location Address
First Line	:	3309 S YALE AVE
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74135-8011
Country	:	US
Telephone Number	:	918-344-0945
Fax Number	:	918-856-3759

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2011
Last Update Date	:	02/22/2022

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