Brandi Hartman Willard, NP-C
Nurse Practitioner, Family in Loganville, GA. Individual provider (NPI-1).
NPI number1619083797
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1619083797
- Entity type
- Individual (NPI-1)
- Name
- Brandi Hartman Willard
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 22, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | RN 149632 NP | GA | Yes |
Practice location
4589 Lawrenceville RdLoganville, GA 30052-7320
Phone 770-466-8672
Mailing address
1158 Emperor LnHoschton, GA 30548-3637
Phone 770-307-5913
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All 44 Family Nurse Practitioner providers in Loganville · All 962 providers in Loganville
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