Provider Demographics
NPI:1902176928
Name:EUTSEY, BRANDI (CRNP)
Entity Type:Individual
Prefix:
First Name:BRANDI
Middle Name:
Last Name:EUTSEY
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2312 STATE ROUTE 982
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:PA
Mailing Address - Zip Code:15666-2520
Mailing Address - Country:US
Mailing Address - Phone:412-691-3413
Mailing Address - Fax:
Practice Address - Street 1:610 PARK AVE
Practice Address - Street 2:
Practice Address - City:MONONGAHELA
Practice Address - State:PA
Practice Address - Zip Code:15063-1814
Practice Address - Country:US
Practice Address - Phone:724-258-2580
Practice Address - Fax:724-258-2568
Is Sole Proprietor?:No
Enumeration Date:2012-01-06
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP011632363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily