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Brandi Blossom
Licensed Practical Nurse in Tahlequah, Oklahoma
NPI 1649784042

Brandi Blossom is a Licensed Practical Nurse based in Tahlequah, OK. Brandi Blossom practices in Tahlequah, OK. The NPI Number for Brandi Blossom is 1649784042 and holds a License No. 0054037 (Oklahoma).

The current practice location address for Brandi Blossom is 711 S Muskogee Ave, Tahlequah, OK and can be reached out via phone at 918-207-0078. You can also correspond with Brandi Blossom through the mailing address at 711 S MUSKOGEE AVE, TAHLEQUAH, OK - 74464-4717 (mailing address contact number: ).

Location: 711 S Muskogee Ave, Tahlequah, OK, 74464-4717
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649784042
Provider Name
Brandi Blossom
Credential
Provider Entity Type
Individual
Gender
Female
Address
711 S Muskogee Ave, Tahlequah, OK, 74464-4717
Phone Number
918-207-0078
Fax Number
Provider Enumeration Date
11/21/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
711 S Muskogee Ave
City
Tahlequah
State
Oklahoma
Zip
74464-4717
Phone Number
918-207-0078
Fax Number
person
Provider Business Mailing Address Details
Address
711 S Muskogee Ave
City
Tahlequah
State
Oklahoma
Zip
74464-4717
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
0054037 (Oklahoma)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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