Doctor Name: | BRANDON N. DEWEES |
NPI Number: | 1033558549 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CNP |
License Number: | COA.14736-NP |
Business Practice Address: | 90 Jackson Pike Gallipolis, OH - 456311560 |
Business Phone Number: | 7404465287 |
Business Fax Number: | 7404465854 |
Mailing Address: | 3605 Murdoch Ave, PARKERSBURG |
State: | WV |
Postal Code: | 261011026 |
Phone Number: | 3044852700 |
Fax Number: | 3044850481 |
NPI Enumeration Date: | 06/18/2013 |
NPI Last Update Date: | 04/08/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | COA.14736-NP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |