Brandi Vance, FNP-C
Nurse Practitioner in Logan, WV. Individual provider (NPI-1).
NPI number1366001026
StatusActive
Last updated in NPPESNov 28, 2022
Details
- NPI
- 1366001026
- Entity type
- Individual (NPI-1)
- Name
- Brandi Vance
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 6, 2019
- Certification date
- Nov 28, 2022
- Last updated
- Nov 28, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 103370 | WV | Yes |
Practice location
83 Hospital DrLogan, WV 25601-3451
Phone 304-831-1101
Mailing address
83 Hospital DrLogan, WV 25601-3451
Phone 304-831-1101
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Nurse Practitioner providers in Logan, WV
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All 8 Nurse Practitioner providers in Logan · All 640 providers in Logan
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