| Doctor Name: | LAURA ANN BRANDLE |
| NPI Number: | 1114385721 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ACNP |
| License Number: | 901455 |
| Business Practice Address: | 22 Doctors Dr Ste A Ocean Springs, MS - 395645721 |
| Business Phone Number: | 2288721951 |
| Business Fax Number: | 2288759998 |
| Mailing Address: | 22 Doctors Dr Ste A, OCEAN SPRINGS |
| State: | MS |
| Postal Code: | 395645721 |
| Phone Number: | 2288721951 |
| Fax Number: | 2288759998 |
| NPI Enumeration Date: | 02/10/2016 |
| NPI Last Update Date: | 02/10/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SA2100X |
| License Number: | 901455 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |