Brandy Lee Wilson, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

273193 Issued in AZ

Practice address

2781 Osborn Dr
Lake Havasu City, AZ 86406-8629

Phone

(928) 505-5552

NPI assigned

Apr 25, 2025

Sex

Female

Sole proprietor

No

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": "1745539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1871381442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 N MOONLIGHT DR",
            "city": "PARKER",
            "state": "AZ",
            "postal_code": "853444110",
            "telephone_number": "702-575-2982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2781 OSBORN DR",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864068629",
            "telephone_number": "928-505-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "BRANDY",
        "middle_name": "LEE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-25",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AZ",
            "license": "273193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joni Wiggins
• Ruth Ellen Wilcox, LMFT
• Floyd Wilks Jr., MD
• Jan Susan Williams, MS LPC
• Lisa Victoria Williams, PA
• Tin T Win, M.D.
• Adejare Windokun, MD
• Alexis Elizabeth Wolf, LAC
• Woman and Child Health, PC
• Womens Medical Health Center Inc

• Licensed Practical Nurse in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Licensed Practical Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; 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.