MEDICARE: BRANDY NICHOLE TRULOVE

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1528942315
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRANDY NICHOLE TRULOVE

Provider Business Mailing Address
First Line	:	2907 BRANCHWOOD DR
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27408-4015
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1931 NEW GARDEN RD STE 210
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27410-2558
Country	:	US
Telephone Number	:	336-405-2601
Fax Number	:

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

Provider Enumeration Date	:	08/04/2025
Last Update Date	:	08/04/2025

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