Provider Demographics
NPI:1407746035
Name:COOL, BRANDY MARIE (LPN)
Entity type:Individual
Prefix:
First Name:BRANDY
Middle Name:MARIE
Last Name:COOL
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1492 MAPLECREST DR
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44515-3858
Mailing Address - Country:US
Mailing Address - Phone:330-707-6136
Mailing Address - Fax:
Practice Address - Street 1:45 N CANFIELD NILES RD STE 4000
Practice Address - Street 2:
Practice Address - City:AUSTINTOWN
Practice Address - State:OH
Practice Address - Zip Code:44515-2300
Practice Address - Country:US
Practice Address - Phone:844-544-0576
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-07
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH151890164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse