Beth Ann Brandenburg, L.P.N.

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN.091346 Issued in OH

Practice address

542 Dirlam LN
Mansfield, OH 44904-1797

Phone

(419) 756-6413

NPI assigned

Aug 28, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219881600000",
    "number": "1053569459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 DIRLAM LN",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449041797",
            "telephone_number": "419-756-6413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 DIRLAM LN",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449041797",
            "telephone_number": "419-756-6413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDENBURG",
        "first_name": "BETH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "L.P.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-28",
        "last_updated": "2008-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN.091346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Olaloquee Bradley
• John Hamlin Bradley, OTR/L
• Kelly Michelle Bradshaw
• Michelle H. Bradshaw
• Wendy Jean Brandeberry, APRN
• Sarah Brandyberry
• McKenzie M Branham
• Tabbitha Danielle Branham, FNP-C
• Sierra Desirae Brasseur
• Anna Brauchler

• Licensed Practical Nurse in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.