Provider Demographics
NPI:1689865446
Name:BRANDI, CHERYL LYNN (ARNP)
Entity type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:LYNN
Last Name:BRANDI
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:CHERYL
Other - Middle Name:LYNN
Other - Last Name:LAHTI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8773 MIDNIGHT PASS RD
Mailing Address - Street 2:UNIT 205G
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34242-2807
Mailing Address - Country:US
Mailing Address - Phone:941-228-1573
Mailing Address - Fax:
Practice Address - Street 1:2040 WHITFIELD AVE
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34243-3956
Practice Address - Country:US
Practice Address - Phone:941-256-8019
Practice Address - Fax:941-756-3681
Is Sole Proprietor?:No
Enumeration Date:2007-08-07
Last Update Date:2015-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 9229968363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1801169792Medicare UPIN