Brandi Shanell Koch, RNFA
Registered Nurse, Registered Nurse First Assistant in Tallahassee, FL. Individual provider (NPI-1).
NPI number1265088595
StatusActive
Last updated in NPPESMay 20, 2021
Details
- NPI
- 1265088595
- Entity type
- Individual (NPI-1)
- Name
- Brandi Shanell Koch
- Credential
- RNFA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 13, 2019
- Certification date
- May 20, 2021
- Last updated
- May 20, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WR0006X | Registered Nurse, Registered Nurse First Assistant | RN9385824 | FL | Yes |
Practice location
2605 Welaunee BlvdTallahassee, FL 32308-4697
Phone 850-877-8174 · Fax 844-261-6839
Mailing address
3334 Capital Medical Blvd Ste 400Tallahassee, FL 32308-4470
Phone 850-877-8174 · Fax 844-261-6839
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