Provider Demographics
NPI:1861930117
Name:SLOAN, BERANDA J
Entity type:Individual
Prefix:
First Name:BERANDA
Middle Name:J
Last Name:SLOAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BRANDY
Other - Middle Name:J
Other - Last Name:SLOAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:16220 28 MILE RD
Mailing Address - Street 2:
Mailing Address - City:ALBION
Mailing Address - State:MI
Mailing Address - Zip Code:49224-9434
Mailing Address - Country:US
Mailing Address - Phone:517-745-8432
Mailing Address - Fax:
Practice Address - Street 1:16220 28 MILE RD
Practice Address - Street 2:
Practice Address - City:ALBION
Practice Address - State:MI
Practice Address - Zip Code:49224-9434
Practice Address - Country:US
Practice Address - Phone:517-745-8432
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-07
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula