Virginia Lynn Brantley
Nurse Practitioner - Community Health
2400 S.r. 415
Sanford
, Florida 32771-6012
Virginia Lynn Brantley
Nurse Practitioner - Community Health
2400 S.r. 415
Sanford
, Florida 32771-6012
(407) 322-8645
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About
Features
Specialties
- Nurse Practitioner - Community Health
Languages spoken
- English
Location
First Address
- Virginia Lynn Brantley
- 2400 State Road 415
- Sanford, FL
- Zip : 32771-6012
- Phone : (407) 322-8645
Second Address
- Virginia Lynn Brantley
- 2400 S.r. 415
- Sanford, FL
- Zip : 32771-6012
- Phone : (407) 322-8645
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LC1500X | Nurse Practitioner - Community Health | 1183862 | FL |
National Provider Identifier
| NPI | 1801890132 |
|---|---|
| Provider Name | Virginia Lynn Brantley |
| First Address | Sanford, FL 32771-6012 |
| Second Address | Sanford, FL 32771-6012 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/05/2005 |
| Last Update Date | 19/01/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 192242 | HEALTHEASE (01) | FL |
| 305641400 | (05) | FL |
| Q07411 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.