Provider Demographics
NPI:1538877139
Name:BRANDON, ROBBIE M (RN)
Entity type:Individual
Prefix:
First Name:ROBBIE
Middle Name:M
Last Name:BRANDON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 BEST ST FL 3
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45405-4906
Mailing Address - Country:US
Mailing Address - Phone:937-673-6988
Mailing Address - Fax:937-223-8638
Practice Address - Street 1:51 BEST ST FL 3
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45405-4906
Practice Address - Country:US
Practice Address - Phone:937-673-6988
Practice Address - Fax:937-223-8638
Is Sole Proprietor?:No
Enumeration Date:2022-11-11
Last Update Date:2022-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.231470163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse