Individual provider · Type 1 NPI

Brandon Lee Phelps

Licensed Practical Nurse · Dayton, OH

NPI number 1063106839 Active

Practice location

8091 Back Bay Ct Apt 2A
Dayton, OH 45458-1766

Call (513) 496-6968 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X170217 (OH)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1063106839

Brandon Lee Phelps's National Provider Identifier is 1063106839, issued on Jun 5, 2023. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Dayton, OH. The record was last updated on Jun 5, 2023.