MS. BRANDI NICOLE CANTERBURY RN,BSN
NPI 1295244382
Registered Nurse - School in Logan, WV
Active since September 21, 2017
About Ms. Brandi Nicole Canterbury Rn,bsn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. BRANDI NICOLE CANTERBURY RN,BSN (NPI 1295244382) is an individual school provider in Logan, West Virginia, licensed in West Virginia (61987) and active in the NPI registry since September 2017.
NPPES Registry Identity
NPI1295244382
Entity TypeIndividualFemale
Primary Taxonomy163WS0200X
Provider Legal NameMS. BRANDI NICOLE CANTERBURYCredential: RN,BSN
Location Address14 WILDCAT WAYLogan, WV 25601-3474
Mailing Address14 Wildcat WayLogan, WV 25601-3474 · (304) 752-1804 · Fax (304) 752-0207
Phone(304) 752-1804
Fax(304) 752-0207
Sole ProprietorNo
Enumeration DateSeptember 21, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1295244382 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · SchoolNursing Service Providers
Taxonomy Code163WS0200X
License✔ Licensed in WV · 61987
14 WILDCAT WAY, Logan, WV 25601
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295244382, enumerated as an "individual" on September 21, 2017.
The provider is located at 14 WILDCAT WAY LOGAN, WV 25601 and the phone number is (304) 752-1804.
Registered Nurse with taxonomy code 163WS0200X and a focus in School.
