Brandy Michelle Horner
Individual provider Active NPI Registered Nurse · Nevada, OH
NPI 1649587197 · NPPES record last updated Sep 4, 2010
Key facts
- NPI
- 1649587197
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN363862 (OH)
- Practice address
- 411 N Goodbread St
Nevada, OH 44849-9452 - Phone
- (419) 569-6684
- NPI assigned
- Sep 4, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN363862 | OH | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN363862 | OH | Yes |
Addresses
Primary practice location
411 N Goodbread St
Nevada, OH 44849-9452
Mailing address
411 N Goodbread St
Nevada, OH 44849-9452
Phone (419) 569-6684
Other names
- Ms. Brandy Michelle Dyer
Other providers in Nevada, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.