NPI 1114542586 · live from the CMS NPI Registry
Brandi Burgess Hair, BSN, RN
Nurse Practitioner, Family in Columbia, SC. National Provider Identifier 1114542586, active.
NPI record
| NPI | 1114542586 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 1228 Harden St Ste B, Columbia, SC 29204 |
| Practice phone | 803-744-0540 |
| Mailing address | 169 Laurelhurst Ave, Columbia, SC 29210 |
| Enumerated | June 11, 2020 |
| Last updated | May 25, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Obstetrics & Gynecology | 363LX0001X | 24525 (SC) |
| Nurse Practitioner, Family primary | 363LF0000X | 24525 (SD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.