Individual provider · NPI-1

Brandy Lou Vannatter, do

Family Medicine · Madison, WV

NPI number1184768392
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1184768392
Entity type
Individual (NPI-1)
Name
Brandy Lou Vannatter
Credential
do
Sex
Female
Sole proprietor
No
Enumeration date
Feb 19, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine2142WVYes

Practice location

701 Madison Ave
Madison, WV 25130-1669

Phone 304-369-1230

Mailing address

810 Middle Horse Creek Rd
Julian, WV 25529-9617

Phone 304-369-3050

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