Basic Information
| Provider Information | |||||||||
| NPI: | 1932577889 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | OROS | ||||||||
| FirstName: | BRANDIE | ||||||||
| MiddleName: | LEE | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | |||||||||
| Credential: | FNP-BC | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | KRENKA | ||||||||
| OtherFirstName: | BRANDIE | ||||||||
| OtherMiddleName: | LEE | ||||||||
| OtherNamePrefix: | |||||||||
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| OtherCredential: | |||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | P.O. BOX 2710 | ||||||||
| Address2: | 160 23TH STREET | ||||||||
| City: | ELKO | ||||||||
| State: | NV | ||||||||
| PostalCode: | 89803 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7757382034 | ||||||||
| FaxNumber: | 7757383241 | ||||||||
| Practice Location | |||||||||
| Address1: | 160 12TH STREET | ||||||||
| Address2: | |||||||||
| City: | ELKO | ||||||||
| State: | NV | ||||||||
| PostalCode: | 89801 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7757382034 | ||||||||
| FaxNumber: | 7757383241 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/09/2015 | ||||||||
| LastUpdateDate: | 09/09/2015 | ||||||||
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| NPIReactivationDate: | |||||||||
| ProviderGenderCode: | F | ||||||||
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| AuthorizedOfficialMiddleName: | |||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | APRN001997 | NV | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.